MEDICARE: KATHERINE A HALL BSSW, 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
1	104100000X	Social Worker	S-0026106	OH

General Provider Information

NPI Number	:	1083769319
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE A HALL BSSW, LSW

Provider Business Mailing Address
First Line	:	619 SCHEID RD
Second Line	:
City	:	SANDUSKY
State	:	OH
Zip	:	44870-8353
Country	:	US
Telephone Number	:	419-366-6116
Fax Number	:	419-386-0984

Provider Business Practice Location Address
First Line	:	509 CLEVELAND RD W STE B
Second Line	:
City	:	HURON
State	:	OH
Zip	:	44839-2717
Country	:	US
Telephone Number	:	614-483-2177
Fax Number	:	419-386-0984

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2007
Last Update Date	:	01/22/2025

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