| Michelle Risser Lisw, Inc | |
|
37 E Wilson Bridge Rd Suite 250 Worthington OH 43085-2354 | |
| (614) 582-1734 | |
| Not Available |
| Full Name | Michelle Risser Lisw, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 37 E Wilson Bridge Rd, Worthington, Ohio |
| Authorized Official Name and Position | Michelle Risser (OWNER) |
| Authorized Official Contact | 6145821734 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Michelle Risser Lisw, Inc 2183 Otter Ln Dublin OH 43016-9067 Ph: (614) 582-1734 | Michelle Risser Lisw, Inc 37 E Wilson Bridge Rd Suite 250 Worthington OH 43085-2354 Ph: (614) 582-1734 |
| NPI Number | 1457746588 |
|---|---|
| Provider Enumeration Date | 04/06/2015 |
| Last Update Date | 04/06/2015 |
| Medicare PECOS PAC ID | 7315264306 |
|---|---|
| Medicare Enrollment ID | O20150401001148 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457746588 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0700128 (Ohio) | Primary |
| Provider Name | Michelle Risser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316181431 PECOS PAC ID: 1850549650 Enrollment ID: I20120920000358 |
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