Healthcare Provider Details

I. General information

NPI: 1528531506
Provider Name (Legal Business Name): ALEKIEA BACKNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/02/2019
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2226 PERDUE AVE
COLUMBUS OH
43211-2872
US

IV. Provider business mailing address

2226 PERDUE AVE
COLUMBUS OH
43211-2872
US

V. Phone/Fax

Practice location:
  • Phone: 614-928-0926
  • Fax: --
Mailing address:
  • Phone: 614-928-0926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberS.2511923
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: