Healthcare Provider Details

I. General information

NPI: 1053207142
Provider Name (Legal Business Name): CARLEE KAISER LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 09/25/2025
Certification Date: 09/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1127 W MAIN ST
ZANESVILLE OH
43701-3147
US

IV. Provider business mailing address

1127 W MAIN ST
ZANESVILLE OH
43701-3147
US

V. Phone/Fax

Practice location:
  • Phone: 740-454-1266
  • Fax: 740-454-7650
Mailing address:
  • Phone: 740-454-1266
  • Fax: 740-454-7650

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2512344
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: