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NPI Code Detail

MEDICARE: BILLIE COURTWRIGHT LSW

MEDICARE: BILLIE COURTWRIGHT LSW
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
1171M00000XCase Manager/Care Coordinator
2104100000XSocial WorkerS0032183OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1S0032183OTHEROHSOCIAL WORK LICENSE

General Provider Information

NPI Number : 1528588803
Entity Type Code : Individual
Provider Name (Legal Business Name) : BILLIE COURTWRIGHT LSW
Provider Business Mailing Address
First Line : 445 E DUBLIN GRANVILLE RD
Second Line :
City : WORTHINGTON
State : OH
Zip : 43085-3192
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 22 N 1ST ST
Second Line :
City : NEWARK
State : OH
Zip : 43055-5608
Country : US
Telephone Number : 740-344-4056
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2017
Last Update Date : 05/20/2025

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Directions to “ BILLIE COURTWRIGHT LSW” Practice Location

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