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NPI Code Detail

MEDICARE: CATHERINE ANNE HECHMER LISW

MEDICARE:   CATHERINE ANNE HECHMER  LISW
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 WorkerI1502358OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1081217OTHEROHOHIO CHEMICAL DEPENDENCY PROFESSIONALS BOARD

General Provider Information

NPI Number : 1184098881
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE ANNE HECHMER LISW
Provider Business Mailing Address
First Line : 3433 AGLER ROAD
Second Line : SUITE 2300 - BILLING/CREDENTIALING DEPT.
City : COLUMBUS
State : OH
Zip : 43219-3389
Country : US
Telephone Number : 614-859-1939
Fax Number : 614-458-1849
Provider Business Practice Location Address
First Line : 1905 PARSONS AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1933
Country : US
Telephone Number : 614-586-4159
Fax Number : 614-586-4252
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/18/2015
Last Update Date : 11/18/2015

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Directions to “ CATHERINE ANNE HECHMER LISW” Practice Location

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