| Amy Koziarski Lisw Llc | |
|
5800 Monroe St Ste H2 Sylvania OH 43560-2260 | |
| (419) 343-7737 | |
| Not Available |
| Full Name | Amy Koziarski Lisw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 5800 Monroe St Ste H2, Sylvania, Ohio |
| Authorized Official Name and Position | Amy Koziarski (OWNER) |
| Authorized Official Contact | 4197251203 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Koziarski Lisw Llc 5800 Monroe St Ste H2 Sylvania OH 43560-2260 Ph: (419) 343-7737 | Amy Koziarski Lisw Llc 5800 Monroe St Ste H2 Sylvania OH 43560-2260 Ph: (419) 343-7737 |
| NPI Number | 1255656773 |
|---|---|
| Provider Enumeration Date | 03/29/2010 |
| Last Update Date | 03/08/2022 |
| Certification Date | 03/08/2022 |
| Medicare PECOS PAC ID | 2365683380 |
|---|---|
| Medicare Enrollment ID | O20130801000896 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255656773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I 1000016 (Ohio) | Primary |
| Provider Name | Amy Koziarski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972828200 PECOS PAC ID: 8628219649 Enrollment ID: I20130801000904 |
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