Tasha Carpenter, MSW, LISW
Individual provider Active NPI Clinical Social Worker · Sidney, OH
NPI 1922465145 · NPPES record last updated Jan 19, 2016
Key facts
- NPI
- 1922465145
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- I1501088 (OH)
- Practice address
- 128 N Main Ave
Sidney, OH 45365-2731 - Phone
- (937) 710-4616
- Fax
- (937) 710-4732
- NPI assigned
- Jan 19, 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 |
|---|---|---|---|
| I1501088 | OH | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I1501088 | OH | Yes |
Addresses
Primary practice location
128 N Main Ave
Sidney, OH 45365-2731
Mailing address
128 N Main Ave
Sidney, OH 45365-2731
Phone (937) 710-4616
Other providers in Sidney, OH
- Kendra J Calanchini
- Conya Jean Carey
- Courtney Carlson
- Jeffrey Lynn Carlson
- Mary Jean Carpenter
- Julie Carver
- Cary Copeland DPM Inc
- Angela Castle
- Kelsey Cathcart
- Megan Cathcart
All providers in Sidney, OH · Clinical Social Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 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.