Provider Demographics
NPI:1063680163
Name:SPROW-AREND, KATIE LYNN (LISW-S)
Entity type:Individual
Prefix:
First Name:KATIE
Middle Name:LYNN
Last Name:SPROW-AREND
Suffix:
Gender:F
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 1:12541 BLOSSER RD
Mailing Address - Street 2:
Mailing Address - City:SHERWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:43556-9786
Mailing Address - Country:US
Mailing Address - Phone:419-439-2661
Mailing Address - Fax:
Practice Address - Street 1:22251 STATE ROUTE 2
Practice Address - Street 2:
Practice Address - City:ARCHBOLD
Practice Address - State:OH
Practice Address - Zip Code:43502-9452
Practice Address - Country:US
Practice Address - Phone:419-445-1552
Practice Address - Fax:419-445-1401
Is Sole Proprietor?:No
Enumeration Date:2008-02-12
Last Update Date:2024-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.0009836-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical