Healthcare Provider Details

I. General information

NPI: 1326100306
Provider Name (Legal Business Name): SARAH CAHAN LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1180 EAST MAIN STREET
COLUMBUS OH
43205
US

IV. Provider business mailing address

600 WEST SPRING STREET-REAR 2
COLUMBUS OH
43215
US

V. Phone/Fax

Practice location:
  • Phone: 614-645-5535
  • Fax: 614-645-2999
Mailing address:
  • Phone: 614-645-5500
  • Fax: 614-645-5517

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number0500805
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: