Abby Wrentmore, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

S-0600778 Issued in OH

Practice address

1125 Ellen Kay Dr
Suite B
Marion, OH 43302-6286

Phone

(740) 387-3087

Fax

(740) 382-5034

NPI assigned

Oct 6, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174610612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1125 ELLEN KAY DR",
            "address_2": "SUITE B",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026286",
            "telephone_number": "740-387-3087",
            "fax_number": "740-382-5034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 ELLEN KAY DR",
            "address_2": "SUITE B",
            "city": "MARION",
            "state": "OH",
            "postal_code": "433026286",
            "telephone_number": "740-387-3087",
            "fax_number": "740-382-5034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRENTMORE",
        "first_name": "ABBY",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S-0600778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Marion, OH
• Providers in Marion, OH by specialty
• Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.