Healthcare Provider Details

I. General information

NPI: 1528448370
Provider Name (Legal Business Name): MIKEL SINNOTT MSW, LSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2015
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6265 RIVERSIDE DR STE 1S
DUBLIN OH
43017-5402
US

IV. Provider business mailing address

600 E TOWN ST APT 301
COLUMBUS OH
43215-4849
US

V. Phone/Fax

Practice location:
  • Phone: 614-360-2600
  • Fax:
Mailing address:
  • Phone: 614-493-6318
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberI.700439-SUPV
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.700439-SUPV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: