Doctor Name: | ROBERT P BLOCK |
NPI Number: | 1255616884 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LSW |
License Number: | S.1100294 |
Business Practice Address: | 68353 Bannock Rd Saint Clairsville, OH - 439509736 |
Business Phone Number: | 7406959344 |
Business Fax Number: | 7406957777 |
Mailing Address: | 16 W Long St, COLUMBUS |
State: | OH |
Postal Code: | 432152815 |
Phone Number: | 6142250980 |
Fax Number: | 6142250986 |
NPI Enumeration Date: | 10/14/2011 |
NPI Last Update Date: | 10/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | S.1100294 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | OH |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |