Provider Demographics
NPI:1710433230
Name:RICE, KEVA A (LCSW)
Entity Type:Individual
Prefix:
First Name:KEVA
Middle Name:A
Last Name:RICE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:554 MEADOWAY PARK
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-3797
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2060 N HIGH ST
Practice Address - Street 2:SUITE N
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43201-1104
Practice Address - Country:US
Practice Address - Phone:614-607-0980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-26
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.15008261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical