MEDICARE: MR. CHRISTOPHER NEMETH 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
1	101YM0800X	Mental Health Counselor	I9519	OH
2	1041C0700X	Clinical Social Worker	I9519	OH

General Provider Information

NPI Number	:	1225166051
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. CHRISTOPHER NEMETH LISW

Provider Business Mailing Address
First Line	:	5123 NORWICH ST STE 110
Second Line	:
City	:	HILLIARD
State	:	OH
Zip	:	43026-1486
Country	:	US
Telephone Number	:	614-849-8204
Fax Number	:	614-849-8204

Provider Business Practice Location Address
First Line	:	5123 NORWICH ST STE 110
Second Line	:
City	:	HILLIARD
State	:	OH
Zip	:	43026-1486
Country	:	US
Telephone Number	:	614-849-8204
Fax Number	:

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

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	11/05/2020

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