MEDICARE: LUTHERAN SOCIAL SERVICES

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	S. 0007584	OH

General Provider Information

NPI Number	:	1578896205
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUTHERAN SOCIAL SERVICES

Provider Business Mailing Address
First Line	:	799 S MAIN ST
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45804-1519
Country	:	US
Telephone Number	:	419-229-2227
Fax Number	:

Provider Business Practice Location Address
First Line	:	799 S MAIN ST
Second Line	:
City	:	LIMA
State	:	OH
Zip	:	45804-1519
Country	:	US
Telephone Number	:	419-229-2227
Fax Number	:

Authorized Official
Title or Position	:	VICE PRESIDENT
Name	:	TAMMIE COLON
Credential	:	MSSA, LSW
Telephone Number	:	419-229-2222

Provider Enumeration Date	:	09/14/2009
Last Update Date	:	11/04/2021

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Directions to “LUTHERAN SOCIAL SERVICES ” Practice Location

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