Provider Demographics
NPI:1881061828
Name:WILMER, ELIZABETH (LISW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:WILMER
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6797 N HIGH ST STE 306
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-2588
Mailing Address - Country:US
Mailing Address - Phone:614-949-3741
Mailing Address - Fax:
Practice Address - Street 1:6797 N HIGH ST STE 306
Practice Address - Street 2:
Practice Address - City:WORTHINGTON
Practice Address - State:OH
Practice Address - Zip Code:43085-2588
Practice Address - Country:US
Practice Address - Phone:614-949-3741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-25
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.14505211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical