MEDICARE: MRS. SHEILA RENAY MAYSE

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.0700077	OH

General Provider Information

NPI Number	:	1487960381
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHEILA RENAY MAYSE

Provider Business Mailing Address
First Line	:	777 S 2ND ST
Second Line	:
City	:	COSHOCTON
State	:	OH
Zip	:	43812-1988
Country	:	US
Telephone Number	:	407-502-3047
Fax Number	:

Provider Business Practice Location Address
First Line	:	777 S 2ND ST
Second Line	:
City	:	COSHOCTON
State	:	OH
Zip	:	43812-1988
Country	:	US
Telephone Number	:	740-502-3047
Fax Number	:	614-737-5944

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

Provider Enumeration Date	:	08/30/2010
Last Update Date	:	01/13/2025

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