MEDICARE: WILLIAM THOMAS BOMKAMP

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	S.1700961	OH
2	1041C0700X	Clinical Social Worker	I.2002210	OH

General Provider Information

NPI Number	:	1528571999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM THOMAS BOMKAMP

Provider Business Mailing Address
First Line	:	7162 READING RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45237-3838
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	7162 READING RD
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45237-3838
Country	:	US
Telephone Number	:	513-354-5200
Fax Number	:

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

Provider Enumeration Date	:	11/08/2017
Last Update Date	:	03/09/2026

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Directions to “ WILLIAM THOMAS BOMKAMP ” Practice Location

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