Provider Demographics
NPI:1285214833
Name:SHOWALTER, BRIANNA (LSW)
Entity Type:Individual
Prefix:
First Name:BRIANNA
Middle Name:
Last Name:SHOWALTER
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 1:5250 STRAWBERRY FARMS BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43230-1049
Mailing Address - Country:US
Mailing Address - Phone:614-454-3726
Mailing Address - Fax:
Practice Address - Street 1:5250 STRAWBERRY FARMS BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43230-1049
Practice Address - Country:US
Practice Address - Phone:614-454-3726
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-08
Last Update Date:2021-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker