MEDICARE: MS. JENNIFER FUCHS 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
1	104100000X	Social Worker	44SL05572400	NJ
2	1041C0700X	Clinical Social Worker	I.1200582	OH

General Provider Information

NPI Number	:	1386975662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER FUCHS LISW

Provider Business Mailing Address
First Line	:	3101 DIXIE HWY
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45015-1653
Country	:	US
Telephone Number	:	513-737-3400
Fax Number	:

Provider Business Practice Location Address
First Line	:	3101 DIXIE HWY
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45015-1653
Country	:	US
Telephone Number	:	513-737-3400
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2010
Last Update Date	:	02/20/2014

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