Individual
ELIZABETH SCHWIETERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
2820 CLEVELAND AVE, COLUMBUS, OH 43224-4410
(614) 274-1455
(614) 274-1433
Mailing address
1160 W BROAD ST, COLUMBUS, OH 43222-1352
(614) 274-1455
(614) 274-1433
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-2002050-SUPV
OH
261QF0400X
Federally Qualified Health Center (FQHC)
1270727
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0459133
—
OH
Enumeration date
09/13/2021
Last updated
04/07/2022
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