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NPI Code Detail

MEDICARE: JOSEPHINE ELISABETH BASILE LSW

MEDICARE: JOSEPHINE ELISABETH BASILE 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
1104100000XSocial WorkerS.2614166OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1598598864
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPHINE ELISABETH BASILE 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 : 614-844-3800
Fax Number :
Provider Business Practice Location Address
First Line : 1065 MEDINA RD
Second Line :
City : MEDINA
State : OH
Zip : 44256-5375
Country : US
Telephone Number : 330-596-1042
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/22/2024
Last Update Date : 06/23/2026

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