Healthcare Provider Details

I. General information

NPI: 1053097477
Provider Name (Legal Business Name): CARRIE L TRAWICK LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2023
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6025 FRANTZ RD
DUBLIN OH
43017-1302
US

IV. Provider business mailing address

5011 PINE CREEK DR
WESTERVILLE OH
43081-4849
US

V. Phone/Fax

Practice location:
  • Phone: 614-948-3273
  • Fax: 855-740-2025
Mailing address:
  • Phone: 614-948-3273
  • Fax: 855-740-2025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberS.2512332
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: