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NPI Code Detail

MEDICARE: ELIZABETH WEST LISW-S

MEDICARE: ELIZABETH WEST 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-0700256.SUPVOH

General Provider Information

NPI Number : 1275782195
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH WEST LISW-S
Provider Business Mailing Address
First Line : 441 E 8TH ST
Second Line : HEALTH PARTNERS OF WESTERN OHIO
City : LIMA
State : OH
Zip : 45804-2482
Country : US
Telephone Number : 419-221-3072
Fax Number : 419-225-8095
Provider Business Practice Location Address
First Line : 1791 ALUM CREEK DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43207-1757
Country : US
Telephone Number : 614-445-8131
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/16/2008
Last Update Date : 06/24/2023

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Directions to “ ELIZABETH WEST LISW-S” Practice Location

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