Provider Demographics
NPI:1588098792
Name:GINGERICH, FAITH ELAINE (PC, LSW)
Entity type:Individual
Prefix:MRS
First Name:FAITH
Middle Name:ELAINE
Last Name:GINGERICH
Suffix:
Gender:F
Credentials:PC, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:230 W SANDUSKY ST
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-3218
Mailing Address - Country:US
Mailing Address - Phone:419-423-7812
Mailing Address - Fax:419-423-9877
Practice Address - Street 1:230 W SANDUSKY ST
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-3218
Practice Address - Country:US
Practice Address - Phone:419-423-7812
Practice Address - Fax:419-423-9877
Is Sole Proprietor?:No
Enumeration Date:2013-08-23
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC1000248101YP2500X
OHS.0031832104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No104100000XBehavioral Health & Social Service ProvidersSocial Worker