Provider Demographics
NPI:1598286825
Name:EHRNFIELD, MICHELE ANN (LSW)
Entity Type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:ANN
Last Name:EHRNFIELD
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MS
Other - First Name:MICHELE
Other - Middle Name:ANN
Other - Last Name:WAUGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:930 BETHESDA DRIVE
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701
Mailing Address - Country:US
Mailing Address - Phone:740-569-5737
Mailing Address - Fax:740-569-5716
Practice Address - Street 1:930 BETHESDA DRIVE
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701
Practice Address - Country:US
Practice Address - Phone:740-569-5737
Practice Address - Fax:740-569-5716
Is Sole Proprietor?:No
Enumeration Date:2017-06-27
Last Update Date:2019-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLCDCIII.161704101YA0400X
OHS.1701331104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)