Healthcare Provider Details

I. General information

NPI: 1457616005
Provider Name (Legal Business Name): NORAJILL PASOS MSW, LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/10/2012
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2050 KENNY RD FL 6
COLUMBUS OH
43221-3502
US

IV. Provider business mailing address

2050 KENNY RD FL 6
COLUMBUS OH
43221-3502
US

V. Phone/Fax

Practice location:
  • Phone: 614-366-8700
  • Fax: 614-685-3081
Mailing address:
  • Phone: 614-366-8700
  • Fax: 614-685-3081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.1440507
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: