Provider Demographics
NPI:1518589886
Name:SCHANTZ-HELD, KERRY (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:KERRY
Middle Name:
Last Name:SCHANTZ-HELD
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 GATEHOUSE LN
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-1732
Mailing Address - Country:US
Mailing Address - Phone:614-377-5509
Mailing Address - Fax:
Practice Address - Street 1:167 S STATE ST STE 50
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2236
Practice Address - Country:US
Practice Address - Phone:614-545-8453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-10
Last Update Date:2020-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.19035771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty