Renee Ackerman
Individual provider Active NPI Social Worker · Fremont, OH
NPI 1760935209 · NPPES record last updated Aug 2, 2016
Key facts
- NPI
- 1760935209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- S.1502331 (OH)
- Practice address
- 675 Bartson Rd
Fremont, OH 43420-9672 - Phone
- (419) 332-5524
- NPI assigned
- Aug 2, 2016
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.1502331 | OH | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1502331 | OH | Yes |
Addresses
Primary practice location
675 Bartson Rd
Fremont, OH 43420-9672
Mailing address
1925 Hayes Ave
Sandusky, OH 44870-4737
Phone (419) 557-5177
Other names
- Renee Ackerman
Other providers in Fremont, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2016. 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.