Provider Demographics
NPI:1083115554
Name:SCHWEICKART, TONJA (LSW)
Entity Type:Individual
Prefix:
First Name:TONJA
Middle Name:
Last Name:SCHWEICKART
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1280 NORTON AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43212-3181
Mailing Address - Country:US
Mailing Address - Phone:614-484-0796
Mailing Address - Fax:614-824-2272
Practice Address - Street 1:1280 NORTON AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43212-3181
Practice Address - Country:US
Practice Address - Phone:614-484-0796
Practice Address - Fax:614-824-2272
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-21
Last Update Date:2018-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS1451063104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker