Healthcare Provider Details

I. General information

NPI: 1679907950
Provider Name (Legal Business Name): ERICA SCHNITZ LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/22/2013
Last Update Date: 02/09/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

301 OBETZ RD
COLUMBUS OH
43207-4036
US

IV. Provider business mailing address

2634 LAKEBRIDGE LN
HILLIARD OH
43026-7894
US

V. Phone/Fax

Practice location:
  • Phone: 614-783-7896
  • Fax:
Mailing address:
  • Phone: 614-535-7861
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.1200745
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: