Provider Demographics
NPI:1285738922
Name:WARNER, MERI JO (LISW)
Entity type:Individual
Prefix:MS
First Name:MERI
Middle Name:JO
Last Name:WARNER
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 1:4701 OLENTANGY RIVER ROAD
Mailing Address - Street 2:STE 001
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43214
Mailing Address - Country:US
Mailing Address - Phone:614-451-5331
Mailing Address - Fax:614-844-6881
Practice Address - Street 1:4701 OLENTANGY RIVER ROAD
Practice Address - Street 2:STE 001
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43214
Practice Address - Country:US
Practice Address - Phone:614-451-5331
Practice Address - Fax:614-844-6881
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI1921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000115470OtherANTHEM
OHWASW29161Medicare ID - Type Unspecified