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Provider Information for 1700371150


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ASHLEY L BENNETT


Sex: Female

NPI: 1700371150
Last Updated: 2022-05-05
Certification Date: 2022-05-05

Details

NameValue
NPI1700371150
Enumeration Date2018-06-28
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 700 CHILDRENS DR
COLUMBUS, OH 43205-2664
United States

Phone: 614-722-2000 | Fax:
 
Primary Practice Address 444 BUTTERFLY GARDENS DR
COLUMBUS, OH 43215-3427
United States

Phone: 614-938-0013 | Fax:614-938-0594
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
MEDICAIDOH0451865
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalOHI.2102946