Corrie M. Vanamerongen, LISW
Social Worker, Clinical in Columbus, OH. Individual provider (NPI-1).
NPI number1124403746
StatusActive
Last updated in NPPESOct 8, 2015
Details
- NPI
- 1124403746
- Entity type
- Individual (NPI-1)
- Name
- Corrie M. Vanamerongen
- Credential
- LISW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2015
- Last updated
- Oct 8, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | I.1501346 | OH | Yes |
| 104100000X | Social Worker | S.1302873 | OH |
Practice location
2300 W Broad StColumbus, OH 43204-3783
Phone 614-645-2300 · Fax 614-645-2333
Mailing address
1800 Watermark DrSuite 420
Columbus, OH 43215-1048
Phone 614-645-5500 · Fax 614-645-5517
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