Bethany Tackett, LSW
Bethany Tackett, LSW is an Undefined Non-Physician Type (Specify) in Ontario, Ohio. Qualified in 2025, 1 year ago. Licensed in Ohio.
- Years since qualifying
- 1
- Licensed in
- OH
- In the registry since
- 2025
What do these letters mean?
- LSW — Licensed Social Worker
- A state-licensed social worker.
Practice location Address checks out
2267 Village Mall Dr Unit 2Ontario, OH 44906-1369
Phone: (419) 951-2020
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence S.2410943 (OH) |
|---|
Record details
| NPI number | 1467241141 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | LSW |
| Sole proprietor | No |
| NPI enumerated | May 1, 2025 |
| Last updated in NPPES | May 1, 2025 |
| Certification date | April 29, 2025 |
Medicare enrollment
| Medicare specialty | UNDEFINED NON-PHYSICIAN TYPE (SPECIFY) |
|---|---|
| Medical school | OTHER |
| Graduated | 2025 (1 years in practice) |
| Accepts Medicare assignment | Not indicated |
Other providers in Ontario
-
Amy Bings, LISW-S
890 W 4th St, Ontario, OH 44906-2565 · (419) 521-9004
-
Amanda M Fraley, LISW
2267 Village Mall Dr, Ontario, OH 44906-1369 · (419) 951-2020
-
MS. Toby Lynn Hookey, MSW, LISW
3712 Alexander Dr, Ontario, OH 44903-8091 · (419) 564-9665