Provider Demographics
NPI:1932746641
Name:BARTOSIK, SAMANTHA AGNES (LISW, LCSW)
Entity Type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:AGNES
Last Name:BARTOSIK
Suffix:
Gender:F
Credentials:LISW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2287 QUARRY VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43204-4983
Mailing Address - Country:US
Mailing Address - Phone:224-715-5521
Mailing Address - Fax:
Practice Address - Street 1:1670 FISHINGER RD UNIT 200
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43221-1446
Practice Address - Country:US
Practice Address - Phone:216-468-5000
Practice Address - Fax:224-422-2304
Is Sole Proprietor?:No
Enumeration Date:2019-12-02
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.23042731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical