MEDICARE: CHAHDAEL FOREMAN

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	104100000X	Social Worker	I.2507236	OH

General Provider Information

NPI Number	:	1326631672
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHAHDAEL FOREMAN

Provider Business Mailing Address
First Line	:	5444 ROHDEN DR
Second Line	:
City	:	CANAL WINCHESTER
State	:	OH
Zip	:	43110-9121
Country	:	US
Telephone Number	:	614-330-7856
Fax Number	:

Provider Business Practice Location Address
First Line	:	1016 S HIGH ST
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43206-2567
Country	:	US
Telephone Number	:	614-330-7658
Fax Number	:

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

Provider Enumeration Date	:	02/18/2021
Last Update Date	:	01/28/2026

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Directions to “ CHAHDAEL FOREMAN ” Practice Location

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