Healthcare Provider Details

I. General information

NPI: 1285219550
Provider Name (Legal Business Name): DAWN ADLER LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2021
Last Update Date: 07/05/2022
Certification Date: 07/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 W JOHNSTOWN RD
GAHANNA OH
43230-2731
US

IV. Provider business mailing address

10100 ELIDA RD
DELPHOS OH
45833-9058
US

V. Phone/Fax

Practice location:
  • Phone: 614-729-2024
  • Fax: 614-729-2030
Mailing address:
  • Phone: 419-695-8010
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.1904167
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: