MEDICARE: YOMARLIN LIZARDO MSW

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	106S00000X	Behavior Technician		OH
2	104100000X	Social Worker		OH

General Provider Information

NPI Number	:	1891654596
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YOMARLIN LIZARDO MSW

Provider Business Mailing Address
First Line	:	1225 MAETZEL DR
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43227-1307
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	338 MODESTA RD
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43213-4434
Country	:	US
Telephone Number	:	614-423-5833
Fax Number	:

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

Provider Enumeration Date	:	01/19/2026
Last Update Date	:	02/17/2026

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Directions to “ YOMARLIN LIZARDO MSW” Practice Location

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