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NPI Code Detail

MEDICARE: SERENITY CONCEPTS CENTER

MEDICARE: SERENITY CONCEPTS CENTER
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 WorkerOH

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 : 1376876656
Entity Type Code : Organization
Provider Name (Legal Business Name) : SERENITY CONCEPTS CENTER
Provider Business Mailing Address
First Line : 3838 BROADWAY
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-2234
Country : US
Telephone Number : 614-801-1812
Fax Number : 614-801-1814
Provider Business Practice Location Address
First Line : 3838 BROADWAY
Second Line :
City : GROVE CITY
State : OH
Zip : 43123-2234
Country : US
Telephone Number : 614-801-1812
Fax Number : 614-801-1814
Authorized Official
Title or Position : SOLE OWNER
Name : MS. DEBRA LYNN MCSHEFFERY
Credential : LISW-S
Telephone Number : 614-801-1812
Provider Enumeration Date : 09/17/2009
Last Update Date : 12/18/2019

Similar Medicare Providers

1285621938 — DR. JOSEPH P. LEISRING I O.D.
Practice Location Address:
3814 BROADWAY
GROVE CITY, OH
43123-2234
Practice Phone: 614-871-2080
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1285730861 — MS. ROSEMARY STANDISH MSW
Practice Location Address:
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1699833160 — MRS. DEBRA LYNN MCSHEFFERY LISW
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GROVE CITY, OH
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1407024540 — OHIO VISION GROUP, INC.
Practice Location Address:
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Directions to “SERENITY CONCEPTS CENTER ” Practice Location

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