Provider Demographics
NPI:1497883045
Name:SCHUMANN, KELLY C (LISW-S)
Entity Type:Individual
Prefix:
First Name:KELLY
Middle Name:C
Last Name:SCHUMANN
Suffix:
Gender:F
Credentials:LISW-S
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Mailing Address - Street 1:651 SOUTH LIMESTONE STREET
Mailing Address - Street 2:CHILDREN'S HOSPITAL GUIDANCE CENTER
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45505
Mailing Address - Country:US
Mailing Address - Phone:937-324-1111
Mailing Address - Fax:937-322-3368
Practice Address - Street 1:899 E. BROAD ST 3RD FLOOR
Practice Address - Street 2:CHILDREN'S HOSPITAL GUIDANCE CENTER
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205
Practice Address - Country:US
Practice Address - Phone:614-355-8000
Practice Address - Fax:614-355-8018
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHS5001191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH08258Medicare UPIN