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NPI Code Detail

MEDICARE: ELIZABETH ANN DILLON

MEDICARE: ELIZABETH ANN DILLON
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
1171M00000XCase Manager/Care Coordinator
21041C0700XClinical Social Worker
3101YP2500XProfessional Counselor

Other Identifiers

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

General Provider Information

NPI Number : 1184575318
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANN DILLON
Provider Business Mailing Address
First Line : 10400 BLACKLICK EASTERN RD
Second Line :
City : PICKERINGTON
State : OH
Zip : 43147-8235
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10400 BLACKLICK EASTERN RD
Second Line :
City : PICKERINGTON
State : OH
Zip : 43147-8235
Country : US
Telephone Number : 216-324-1345
Fax Number : 216-324-1345
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2026
Last Update Date : 02/09/2026

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