Provider Demographics
NPI:1487987681
Name:BENTFELD AXEL, MICHELE ELIZABETH (MSW,LISW-S)
Entity type:Individual
Prefix:MS
First Name:MICHELE
Middle Name:ELIZABETH
Last Name:BENTFELD AXEL
Suffix:
Gender:F
Credentials:MSW,LISW-S
Other - Prefix:MS
Other - First Name:MICHELE
Other - Middle Name:ELIZABETH
Other - Last Name:BENTFELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:700 CHILDRENS DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-2664
Mailing Address - Country:US
Mailing Address - Phone:614-722-2000
Mailing Address - Fax:
Practice Address - Street 1:75 S TERRACE AVE
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:OH
Practice Address - Zip Code:43055-1355
Practice Address - Country:US
Practice Address - Phone:740-522-3221
Practice Address - Fax:614-355-9649
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2025-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1302302-SUPV1041C0700X
OHI 1302302-SUPV1041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2846675Medicaid
OH0220185Medicaid
OH0220185Medicaid