Provider Demographics
NPI:1861730905
Name:SANDMAN, ELIZABETH A (MSW, LISW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:A
Last Name:SANDMAN
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 1:7925 N HIGH ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43235-1475
Mailing Address - Country:US
Mailing Address - Phone:614-578-4203
Mailing Address - Fax:614-885-3032
Practice Address - Street 1:7925 N HIGH ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43235-1475
Practice Address - Country:US
Practice Address - Phone:614-578-4203
Practice Address - Fax:614-885-3032
Is Sole Proprietor?:No
Enumeration Date:2013-01-24
Last Update Date:2013-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI12005251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical