MEDICARE: MS. LISA MARIE STROMEIER 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	104100000X	Social Worker	I-0004808	OH

General Provider Information

NPI Number	:	1417044728
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LISA MARIE STROMEIER LISW

Provider Business Mailing Address
First Line	:	6230 BUSCH BLVD
Second Line	:	SUITE 310
City	:	COLUMBUS
State	:	OH
Zip	:	43229-1826
Country	:	US
Telephone Number	:	614-885-2431
Fax Number	:	614-885-6188

Provider Business Practice Location Address
First Line	:	6230 BUSCH BLVD
Second Line	:	SUITE 310
City	:	COLUMBUS
State	:	OH
Zip	:	43229-1826
Country	:	US
Telephone Number	:	614-885-2431
Fax Number	:	614-885-6188

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

Provider Enumeration Date	:	10/06/2006
Last Update Date	:	07/08/2007

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