Healthcare Provider Details

I. General information

NPI: 1336076124
Provider Name (Legal Business Name): ALYSSA NUEHS LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1361 COMMUNITY PARK DR
COLUMBUS OH
43229-2258
US

IV. Provider business mailing address

3694 RIDGEWOOD DR
HILLIARD OH
43026-2448
US

V. Phone/Fax

Practice location:
  • Phone: 614-300-0433
  • Fax:
Mailing address:
  • Phone: 406-781-1396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2512895
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: