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NPI Code Detail

MEDICARE: ANNETTE HERRMANN LISW-S

MEDICARE: ANNETTE HERRMANN LISW-S
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
11041C0700XClinical Social WorkerI.0008086-SUPVOH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
214129743OTHEROHCAQH

General Provider Information

NPI Number : 1134353584
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNETTE HERRMANN LISW-S
Provider Business Mailing Address
First Line : PO BOX 150
Second Line :
City : VAN WERT
State : OH
Zip : 45891-0150
Country : US
Telephone Number : 419-238-1695
Fax Number : 419-238-1007
Provider Business Practice Location Address
First Line : 1229 LINCOLN HWY
Second Line :
City : VAN WERT
State : OH
Zip : 45891-1877
Country : US
Telephone Number : 419-238-1695
Fax Number : 419-238-1007
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2009
Last Update Date : 05/30/2024

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Directions to “ ANNETTE HERRMANN LISW-S” Practice Location

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