Individual
BANSARI THAKKAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
6435 E BROAD ST, COLUMBUS, OH 43213-1507
(614) 355-8160
Mailing address
DEPT 781629, DETROIT, MI 48278-1625
(614) 355-8004
(614) 355-2220
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S.1802843
OH
1041C0700X
Clinical Social Worker
Primary
I.2002481
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1473276
—
OH
Enumeration date
08/07/2018
Last updated
12/22/2020
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