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NPI Code Detail

MEDICARE: ANASTASIA BRITT LISW

MEDICARE: ANASTASIA BRITT LISW
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
11041C0700XClinical Social WorkerI.2304921-SUPVOH

General Provider Information

NPI Number : 1811595879
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANASTASIA BRITT LISW
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 614-293-9600
Fax Number : 614-366-1215
Provider Business Practice Location Address
First Line : 3650 OLENTANGY RIVER RD FL 3
Second Line :
City : COLUMBUS
State : OH
Zip : 43214-3464
Country : US
Telephone Number : 614-293-9600
Fax Number : 614-366-1215
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/13/2020
Last Update Date : 05/05/2026

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Directions to “ ANASTASIA BRITT LISW” Practice Location

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