Incise Bethsaida Versailles
Individual provider Active NPI Social Worker · Springfield, OH
NPI 1700568144 · NPPES record last updated Aug 4, 2023
Key facts
- NPI
- 1700568144
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 3454 Folk Ream Rd Lot 191
Springfield, OH 45502-6604 - Phone
- (937) 342-6557
- NPI assigned
- Aug 4, 2023
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | OH | Yes |
Addresses
Primary practice location
3454 Folk Ream Rd Lot 191
Springfield, OH 45502-6604
Mailing address
3454 Folk Ream Rd Lot 191
Springfield, OH 45502-6604
Phone (937) 342-6557
Other providers in Springfield, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.