Healthcare Provider Details

I. General information

NPI: 1730234188
Provider Name (Legal Business Name): HENRY J KAMINSKI MSW, LISW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 07/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1555 BETHEL RD
COLUMBUS OH
43220-2003
US

IV. Provider business mailing address

5310 E MAIN ST STE 102
COLUMBUS OH
43213-2598
US

V. Phone/Fax

Practice location:
  • Phone: 614-442-0664
  • Fax: 614-442-0620
Mailing address:
  • Phone: 614-751-1090
  • Fax: 614-751-1091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI-0004418
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: