Mary Anne Edmiston, MSW, LISW
Social Worker, Clinical in Gahanna, OH. Individual provider (NPI-1).
NPI number1972124303
StatusActive
Last updated in NPPESApr 27, 2020
Details
- NPI
- 1972124303
- Entity type
- Individual (NPI-1)
- Name
- Ms. Mary Anne Edmiston
- Credential
- MSW, LISW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 27, 2020
- Certification date
- Apr 27, 2020
- Last updated
- Apr 27, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | I.2002141 | OH | Yes |
Practice location
261 W Johnstown Rd Ste 211Gahanna, OH 43230-3094
Phone 614-407-5312
Mailing address
261 W Johnstown Rd Ste 211Gahanna, OH 43230-3094
Phone 614-407-5312
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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