Provider Demographics
NPI:1316090723
Name:SCAPEROTH, ANNE J (MSW, LISW)
Entity type:Individual
Prefix:MS
First Name:ANNE
Middle Name:J
Last Name:SCAPEROTH
Suffix:
Gender:F
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 1:691 N HIGH ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43215-1583
Mailing Address - Country:US
Mailing Address - Phone:614-224-8330
Mailing Address - Fax:614-224-7244
Practice Address - Street 1:691 N HIGH ST
Practice Address - Street 2:SUITE 303
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43215-1583
Practice Address - Country:US
Practice Address - Phone:614-224-8330
Practice Address - Fax:614-224-7244
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI29601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHSW03651Medicare ID - Type Unspecified