MEDICARE: EMMA COMPTON 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	1041C0700X	Clinical Social Worker	I.2507447	OH

General Provider Information

NPI Number	:	1851899942
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMMA COMPTON LISW

Provider Business Mailing Address
First Line	:	6007 RED WINESAP WAY
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43016-7803
Country	:	US
Telephone Number	:	314-750-8407
Fax Number	:

Provider Business Practice Location Address
First Line	:	5665 HOOVER RD
Second Line	:
City	:	GROVE CITY
State	:	OH
Zip	:	43123
Country	:	US
Telephone Number	:	614-875-2371
Fax Number	:

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

Provider Enumeration Date	:	01/24/2018
Last Update Date	:	01/16/2026

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Directions to “ EMMA COMPTON LISW” Practice Location

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