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NPI 1386949428

NPI 1386949428 : WHITNEY QUINN LISW-S : COLUMBUS, OH

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General NPI Number Information
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    NPI Number           |    1386949428
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    Entity Type          |    Individual 
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    Provider Name        |    WHITNEY QUINN LISW-S
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/21/2011
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    Last Update Date     |    12/04/2025
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Provider Practice Location Address
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    Address Line         |    8001 RAVINES EDGE CT STE 301 
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    City                 |    COLUMBUS
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    State                |    OH
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    Zip                  |    43235-5423
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    Country              |    US
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    Telephone            |    614-896-8242
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 715196 
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    City                 |    COLUMBUS
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    State                |    OH
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    Zip                  |    43271-5194
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    Country              |    US
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    Telephone            |    614-355-8004
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    Fax                  |    614-355-0509
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    I.1200904-SUPV
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    License Number State |    OH
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    I.1200904-SUPV
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    License Number State |    OH
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