Healthcare Provider Details

I. General information

NPI: 1164901591
Provider Name (Legal Business Name): AHARON WEINSTEIN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2018
Last Update Date: 08/22/2025
Certification Date: 08/22/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1592 GRANVILLE PIKE
LANCASTER OH
43130-1076
US

IV. Provider business mailing address

1230 MEDFORD RD
COLUMBUS OH
43209-2839
US

V. Phone/Fax

Practice location:
  • Phone: 740-687-0835
  • Fax:
Mailing address:
  • Phone: 614-585-2309
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2002045-SUPV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: