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NPI Code Detail

MEDICARE: NICOLE SHEFFER MSW, LSW

MEDICARE:   NICOLE  SHEFFER  MSW, LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerS.1451005OH

General Provider Information

NPI Number : 1013429422
Entity Type Code : Individual
Provider Name (Legal Business Name) : NICOLE SHEFFER MSW, LSW
Provider Business Mailing Address
First Line : 825 GRANDVIEW AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-1123
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 825 GRANDVIEW AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43215-1123
Country : US
Telephone Number : 614-258-9927
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/26/2017
Last Update Date : 10/26/2017

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Directions to “ NICOLE SHEFFER MSW, LSW” Practice Location

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