Healthcare Provider Details

I. General information

NPI: 1063975829
Provider Name (Legal Business Name): APPECHHA NEUPANE LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2019
Last Update Date: 10/11/2024
Certification Date: 10/11/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 BRYDEN RD STE 120
COLUMBUS OH
43215-4839
US

IV. Provider business mailing address

2321 TAYLOR PARK DR # 1024
REYNOLDSBURG OH
43068-8052
US

V. Phone/Fax

Practice location:
  • Phone: 614-705-0347
  • Fax:
Mailing address:
  • Phone: 614-906-9095
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2405122
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number104851
License Number StateTX
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberMSCSW.00000023
License Number StateCO
# 5
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: