MEDICARE: KATHERINE N MOLLOHAN 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	101Y00000X	Counselor	I.2607623	OH

General Provider Information

NPI Number	:	1871216689
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE N MOLLOHAN LISW

Provider Business Mailing Address
First Line	:	3645 RIDGE MILL DR
Second Line	:
City	:	HILLIARD
State	:	OH
Zip	:	43026-7752
Country	:	US
Telephone Number	:	614-457-7876
Fax Number	:	614-457-7896

Provider Business Practice Location Address
First Line	:	3645 RIDGE MILL DR
Second Line	:
City	:	HILLIARD
State	:	OH
Zip	:	43026-7752
Country	:	US
Telephone Number	:	614-457-7876
Fax Number	:	614-457-7896

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

Provider Enumeration Date	:	09/26/2022
Last Update Date	:	01/07/2026

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