Provider Demographics
NPI:1124544002
Name:FRENCH, MAGGIE N (MSW, LISW)
Entity type:Individual
Prefix:
First Name:MAGGIE
Middle Name:N
Last Name:FRENCH
Suffix:
Gender:
Credentials:MSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2575 OLDE FALLS RD
Mailing Address - Street 2:
Mailing Address - City:ZANESVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43701-8731
Mailing Address - Country:US
Mailing Address - Phone:740-485-4532
Mailing Address - Fax:
Practice Address - Street 1:2575 OLDE FALLS RD
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-8731
Practice Address - Country:US
Practice Address - Phone:740-334-2677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-22
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLICDC.162820101YA0400X
OHS.2005509104100000X
OHI.25065251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0277236Medicaid