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NPI Code Detail

MEDICARE: KATRINA MARIE WELLMAN LSW

MEDICARE:   KATRINA MARIE WELLMAN  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.2513124OH

General Provider Information

NPI Number : 1730999277
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATRINA MARIE WELLMAN LSW
Provider Business Mailing Address
First Line : 1251 NILLES RD STE 5
Second Line :
City : FAIRFIELD
State : OH
Zip : 45014-7205
Country : US
Telephone Number : 888-830-0347
Fax Number : 513-939-0310
Provider Business Practice Location Address
First Line : 1251 NILLES RD STE 5
Second Line :
City : FAIRFIELD
State : OH
Zip : 45014-7205
Country : US
Telephone Number : 888-830-0347
Fax Number : 513-939-0310
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2025
Last Update Date : 06/04/2026

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Directions to “ KATRINA MARIE WELLMAN LSW” Practice Location

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