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NPI Code Detail

MEDICARE: MR. MICHAEL JAMES ESCH LISW-S

MEDICARE: MR. MICHAEL JAMES ESCH 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.1901931-SUPVOH

General Provider Information

NPI Number : 1477742641
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL JAMES ESCH LISW-S
Provider Business Mailing Address
First Line : 700 CHILDRENS DR
Second Line :
City : COLUMBUS
State : OH
Zip : 43205-2664
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6503 E BROAD ST
Second Line :
City : COLUMBUS
State : OH
Zip : 43213-1692
Country : US
Telephone Number : 614-355-8160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2007
Last Update Date : 04/23/2025

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