Healthcare Provider Details
I. General information
NPI: 1891245643
Provider Name (Legal Business Name): LORENA V ASADI LISW-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 10/05/2016
Last Update Date: 12/21/2025
Certification Date: 04/22/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
444 BUTTERFLY GARDENS DR
COLUMBUS OH
43215-3427
US
IV. Provider business mailing address
700 CHILDRENS DR
COLUMBUS OH
43205-2664
US
V. Phone/Fax
- Phone: 614-938-0350
- Fax: 614-938-0170
- Phone: 614-722-2000
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | I.1901819-SUPV |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: