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NPI Code Detail

MEDICARE: SARAH FENSTERMAKER LISW

MEDICARE: SARAH FENSTERMAKER LISW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerI.2406007OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1154731024
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH FENSTERMAKER LISW
Provider Business Mailing Address
First Line : 1712 RACE ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-3906
Country : US
Telephone Number : 513-922-4271
Fax Number : 513-922-3936
Provider Business Practice Location Address
First Line : 2170 ANDERSON FERRY RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-3328
Country : US
Telephone Number : 513-922-4271
Fax Number : 513-922-3936
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/01/2014
Last Update Date : 06/05/2026

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