Individual
ANDREW DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, LSW, CCHT
Contact information
Practice address
4236 E BROAD ST, COLUMBUS, OH 43213-1279
(380) 201-1315
(740) 964-0030
Mailing address
270 W LAKEVIEW AVE, COLUMBUS, OH 43202-1047
(614) 441-7333
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
S.2106429
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2910854
—
OH
Enumeration date
09/25/2017
Last updated
06/06/2023
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