Provider Demographics
NPI:1578972444
Name:GARNER, MARIA JANE (LSW)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:JANE
Last Name:GARNER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MS
Other - First Name:MARIA
Other - Middle Name:JANE
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:1791 ALUM CREEK DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43207-1708
Mailing Address - Country:US
Mailing Address - Phone:614-445-8131
Mailing Address - Fax:614-827-8380
Practice Address - Street 1:1430 S HIGH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43207-1045
Practice Address - Country:US
Practice Address - Phone:614-324-5404
Practice Address - Fax:614-545-3529
Is Sole Proprietor?:No
Enumeration Date:2014-08-05
Last Update Date:2022-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH101YM0800X
OHS13034731041C0700X
OHS1200173-TRNE1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health