Healthcare Provider Details

I. General information

NPI: 1184825333
Provider Name (Legal Business Name): CHIQWITA RENEE ARNOLD-GARNES LISW-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 08/17/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1490 E MAIN ST
COLUMBUS OH
43205-2140
US

IV. Provider business mailing address

6157 OAKFIELD DR E
COLUMBUS OH
43229-1949
US

V. Phone/Fax

Practice location:
  • Phone: 614-252-0731
  • Fax: 614-252-8468
Mailing address:
  • Phone: 614-578-7638
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberS0027591
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: