Provider Demographics
NPI:1841659836
Name:TOOPS, NATHAN KING (LISW-S)
Entity type:Individual
Prefix:MR
First Name:NATHAN
Middle Name:KING
Last Name:TOOPS
Suffix:
Gender:M
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:657 S OHIO AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-2743
Mailing Address - Country:US
Mailing Address - Phone:614-258-8043
Mailing Address - Fax:614-258-8123
Practice Address - Street 1:657 S OHIO AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-2743
Practice Address - Country:US
Practice Address - Phone:614-258-8043
Practice Address - Fax:614-258-8123
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-18
Last Update Date:2016-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI 0029830 SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical