Elizabeth Wilmer | |
6797 N High St Ste 306 Worthington OH 43085-2588 | |
(614) 949-3741 | |
Not Available |
Full Name | Elizabeth Wilmer |
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Speciality | Clinic/Center |
Location | 6797 N High St Ste 306, Worthington, Ohio |
Authorized Official Name and Position | Elizabeth Wilmer (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 6149493741 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Elizabeth Wilmer 6797 N High St Ste 306 Worthington OH 43085-2588 Ph: (614) 949-3741 | Elizabeth Wilmer 6797 N High St Ste 306 Worthington OH 43085-2588 Ph: (614) 949-3741 |
NPI Number | 1265918841 |
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Provider Enumeration Date | 07/17/2018 |
Last Update Date | 01/22/2024 |
Certification Date | 01/22/2024 |
Medicare PECOS PAC ID | 9739433434 |
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Medicare Enrollment ID | O20181115002362 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265918841 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | I.1450521 (Ohio) | Primary |
Provider Name | Elizabeth Wilmer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1881061828 PECOS PAC ID: 9537413232 Enrollment ID: I20181116000045 |
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