Lisa Douglas, LISW
Social Worker, Clinical in Columbus, OH. Individual provider (NPI-1).
NPI number1619702537
StatusActive
Last updated in NPPESSep 3, 2024
Details
- NPI
- 1619702537
- Entity type
- Individual (NPI-1)
- Name
- Lisa Douglas
- Credential
- LISW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 3, 2024
- Last updated
- Sep 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | I.1600288-SUPV | OH | Yes |
Practice location
700 Bryden Road Suite 122Columbus, OH 43215
Phone 614-681-0012
Mailing address
3927 Abbie Cove Ln.Canal Winchester, OH 43110
Phone 614-282-1202
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