Provider Demographics
NPI:1033249131
Name:TOPOLOSKY, SHANI BETH (LISW-S, LMT)
Entity Type:Individual
Prefix:
First Name:SHANI
Middle Name:BETH
Last Name:TOPOLOSKY
Suffix:
Gender:F
Credentials:LISW-S, LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:870 HIGH ST
Mailing Address - Street 2:SUITE 14
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-4139
Mailing Address - Country:US
Mailing Address - Phone:614-785-6837
Mailing Address - Fax:614-785-1323
Practice Address - Street 1:870 HIGH ST
Practice Address - Street 2:SUITE 14
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-4139
Practice Address - Country:US
Practice Address - Phone:614-785-6837
Practice Address - Fax:614-785-1323
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-07
Last Update Date:2012-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-00079221041C0700X
OH33.010793225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist