Kourtnie J. Michelle Iverson, LSW
Social Worker, Clinical in Gahanna, OH. Individual provider (NPI-1).
NPI number1982152146
StatusActive
Last updated in NPPESApr 11, 2022
Details
- NPI
- 1982152146
- Entity type
- Individual (NPI-1)
- Name
- Kourtnie J. Michelle Iverson
- Credential
- LSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 16, 2016
- Certification date
- Apr 11, 2022
- Last updated
- Apr 11, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | I.2102873 | OH | Yes |
| 1041C0700X | Social Worker, Clinical | S1500695 | OH |
Practice location
60 N Stygler RdGahanna, OH 43230-2435
Phone 614-475-2014
Mailing address
1791 Alum Creek DrColumbus, OH 43207-1708
Phone 614-445-8131 · Fax 614-827-8380
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