=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134001654
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARAH MYERS MSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/24/2025
-----------------------------------------------------
Last Update Date | 07/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3645 RIDGE MILL DR
-----------------------------------------------------
City | HILLIARD
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43026-7752
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-457-7876
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3645 RIDGE MILL DR SMYERS@SYNTERO.ORG
-----------------------------------------------------
City | HILLIARD
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43026-4302
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 614-457-7876
-----------------------------------------------------
Fax | 618-974-3138
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 2411679
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------