Healthcare Provider Details

I. General information

NPI: 1437012408
Provider Name (Legal Business Name): AL KUUIPO CHO MSW, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2025
Last Update Date: 12/06/2025
Certification Date: 12/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5354 N HIGH ST STE 206
COLUMBUS OH
43214-1274
US

IV. Provider business mailing address

301 S SYLVAN AVE
COLUMBUS OH
43204-1922
US

V. Phone/Fax

Practice location:
  • Phone: 614-948-7300
  • Fax: 614-948-7340
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberS.2909853
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: