Healthcare Provider Details

I. General information

NPI: 1346292240
Provider Name (Legal Business Name): HELEN SCRAGG HILL LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 04/03/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1170 OLD HENDERSON RD STE 216 SUITE 305
COLUMBUS OH
43220-7601
US

IV. Provider business mailing address

5348 SUTTER HOME RD
HILLIARD OH
43026-7004
US

V. Phone/Fax

Practice location:
  • Phone: 614-565-6048
  • Fax:
Mailing address:
  • Phone: 614-565-6048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI3056
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: