Provider Demographics
NPI:1073540043
Name:LENTZ, TANYA (MSW)
Entity Type:Individual
Prefix:MS
First Name:TANYA
Middle Name:
Last Name:LENTZ
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 20751
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43220-0751
Mailing Address - Country:US
Mailing Address - Phone:614-481-9053
Mailing Address - Fax:
Practice Address - Street 1:2790 ALLISTON CT
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43220-4216
Practice Address - Country:US
Practice Address - Phone:614-481-9053
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOHI12271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHLESW06904Medicare ID - Type UnspecifiedSOCIAL WORKER