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NPI Code Detail

MEDICARE: TASHA N STOUT LSW

MEDICARE: TASHA N STOUT LSW
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
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1992379366
Entity Type Code : Individual
Provider Name (Legal Business Name) : TASHA N STOUT LSW
Provider Business Mailing Address
First Line : 110 HIGHLAND AVE
Second Line :
City : CIRCLEVILLE
State : OH
Zip : 43113-1208
Country : US
Telephone Number : 740-477-1745
Fax Number : 740-477-2779
Provider Business Practice Location Address
First Line : 110 HIGHLAND AVE
Second Line :
City : CIRCLEVILLE
State : OH
Zip : 43113-1208
Country : US
Telephone Number : 740-477-1745
Fax Number : 740-477-2779
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2021
Last Update Date : 05/11/2026

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Directions to “ TASHA N STOUT LSW” Practice Location

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