Provider Demographics
NPI:1720348709
Name:REES, GWENDOLYN LOUISA (MSW; LISW-S)
Entity Type:Individual
Prefix:MS
First Name:GWENDOLYN
Middle Name:LOUISA
Last Name:REES
Suffix:
Gender:F
Credentials:MSW; LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1271 HUNTER AVE
Mailing Address - Street 2:APT D
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43201-3292
Mailing Address - Country:US
Mailing Address - Phone:614-596-6179
Mailing Address - Fax:
Practice Address - Street 1:37 E WILSON BRIDGE RD
Practice Address - Street 2:SUITE 250
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2354
Practice Address - Country:US
Practice Address - Phone:614-341-7090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-23
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.0010298104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker