Healthcare Provider Details

I. General information

NPI: 1578438123
Provider Name (Legal Business Name): MARISA CHRISTIN ASHER LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/06/2025
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 E BROAD ST STE 100
COLUMBUS OH
43215-3989
US

IV. Provider business mailing address

3433 AGLER RD STE 2800
COLUMBUS OH
43219-3389
US

V. Phone/Fax

Practice location:
  • Phone: 614-859-1850
  • Fax: 614-753-4079
Mailing address:
  • Phone: 614-859-1906
  • Fax: 614-458-1849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberS.2410670
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: