MEDICARE: KRISTEN SANTEL LISW-S LLC

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.0700086-SUPV	OH

General Provider Information

NPI Number	:	1982037453
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN SANTEL LISW-S LLC

Provider Business Mailing Address
First Line	:	1385 KING AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43212-2220
Country	:	US
Telephone Number	:	614-506-7959
Fax Number	:	614-443-1511

Provider Business Practice Location Address
First Line	:	1385 KING AVE
Second Line	:
City	:	COLUMBUS
State	:	OH
Zip	:	43212-2220
Country	:	US
Telephone Number	:	614-506-7959
Fax Number	:	614-437-7142

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

Provider Enumeration Date	:	08/19/2013
Last Update Date	:	11/04/2025

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