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NPI Code Detail

MEDICARE: MS. CHRISTA CARNAHAN LISW-S

MEDICARE: MS. CHRISTA CARNAHAN LISW-S
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.0008496-SUPVOH

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 : 1528575701
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. CHRISTA CARNAHAN LISW-S
Provider Business Mailing Address
First Line : PO BOX 55
Second Line :
City : WALTON
State : KY
Zip : 41094-0055
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 220 S BREIEL BLVD
Second Line :
City : MIDDLETOWN
State : OH
Zip : 45044-5106
Country : US
Telephone Number : 513-849-8670
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2018
Last Update Date : 08/28/2025

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