Healthcare Provider Details

I. General information

NPI: 1821554494
Provider Name (Legal Business Name): SARAH M TOWNING LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/19/2019
Last Update Date: 03/02/2022
Certification Date: 03/02/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3099 SULLIVANT AVE STE H
COLUMBUS OH
43204-1800
US

IV. Provider business mailing address

2829 SHELLWICK CT
COLUMBUS OH
43235-7296
US

V. Phone/Fax

Practice location:
  • Phone: 614-371-2303
  • Fax:
Mailing address:
  • Phone: 614-301-9523
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2203420
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: