MEDICARE: ANDREW PARGULSKI LSW, MSW

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	1041C0700X	Clinical Social Worker	S.2309066	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1699302398
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW PARGULSKI LSW, MSW

Provider Business Mailing Address
First Line	:	2323 LAKE CLUB DR STE 204
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-3198
Country	:	US
Telephone Number	:	614-604-8573
Fax Number	:

Provider Business Practice Location Address
First Line	:	2323 LAKE CLUB DR STE 204
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43232-3198
Country	:	US
Telephone Number	:	614-604-8573
Fax Number	:

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

Provider Enumeration Date	:	03/24/2020
Last Update Date	:	10/06/2023

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