Sasha Grundfast, LISW-S
Social Worker, Clinical in Athens, OH. Individual provider (NPI-1).
NPI number1255683058
StatusActive
Last updated in NPPESMay 16, 2025
Details
- NPI
- 1255683058
- Entity type
- Individual (NPI-1)
- Name
- Sasha Grundfast
- Credential
- LISW-S
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 4, 2012
- Certification date
- May 16, 2025
- Last updated
- May 16, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | I.1700622-SUPV | OH | Yes |
Practice location
1 Ohio UniversityAthens, OH 45701-2979
Phone 740-638-0567
Mailing address
1 Ohio UniversityAthens, OH 45701-2979
Phone 419-835-4721
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