MEDICARE: NANCY T LIPPHARDT 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
1	104100000X	Social Worker	I-0004739	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	I 0004739	OTHER	OH	LICENSE
2	000000387060	OTHER	OH	ANTHEM

General Provider Information

NPI Number	:	1841263688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY T LIPPHARDT LISW

Provider Business Mailing Address
First Line	:	750 CREEKSIDE DR
Second Line	:
City	:	LANCASTER
State	:	OH
Zip	:	43130-1092
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	131 N EWING ST
Second Line	:	UNIT B
City	:	LANCASTER
State	:	OH
Zip	:	43130-3383
Country	:	US
Telephone Number	:	740-689-6700
Fax Number	:	740-689-6702

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

Provider Enumeration Date	:	02/10/2006
Last Update Date	:	07/08/2007

Similar Medicare Providers

1396721486 — PRADEEP K PANDYA M.D.
Practice Location Address:

131 N EWING ST , UNIT A
LANCASTER, OH
43130-3383

Practice Phone: 740-687-1247
Practice Fax: 740-687-3594

1306819131 — NETTIE RUTH MISTIC LISW
Practice Location Address:

131 N EWING ST , UNIT B
LANCASTER, OH
43130-3383

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Practice Fax: 740-689-6702

1932172780 — DR. ANGELINE STERGIOU M.D.
Practice Location Address:

131 N EWING ST , UNIT C
LANCASTER, OH
43130-3383

Practice Phone: 740-689-6600
Practice Fax: 740-689-6603

1558334391 — CAROLYN HUDDLE LISW
Practice Location Address:

131 N EWING ST , UNIT B
LANCASTER, OH
43130-3383

Practice Phone: 740-689-6700
Practice Fax: 740-689-6702

1902870447 — RICHARD L HOCKENBERRY LISW
Practice Location Address:

131 N EWING ST , UNIT B
LANCASTER, OH
43130-3383

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1548214752 — RIVER VALLEY COUNSELING, LLC
Practice Location Address:

131 N EWING ST , UNIT B
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Directions to “ NANCY T LIPPHARDT LISW” Practice Location

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