Provider Demographics
NPI:1649802513
Name:SUWINSKI, MARY (MSW, LSW, MBA-HCA)
Entity type:Individual
Prefix:MRS
First Name:MARY
Middle Name:
Last Name:SUWINSKI
Suffix:
Gender:F
Credentials:MSW, LSW, MBA-HCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7251 SAWMILL RD
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-7406
Mailing Address - Country:US
Mailing Address - Phone:614-766-0161
Mailing Address - Fax:
Practice Address - Street 1:7251 SAWMILL RD STE 150
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43016-7406
Practice Address - Country:US
Practice Address - Phone:614-766-0161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-10
Last Update Date:2020-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1904090104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHS.1904090OtherCSWMFT BOARD