MEDICARE: PAULA S SEWARD 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
1	104100000X	Social Worker		OH

General Provider Information

NPI Number	:	1578794111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA S SEWARD LISW-S

Provider Business Mailing Address
First Line	:	3333 BURNET AVE # 5021
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3026
Country	:	US
Telephone Number	:	513-636-4225
Fax Number	:	513-636-2511

Provider Business Practice Location Address
First Line	:	PSYCHIATRY/PSYCHOLOGY - LIBERTY CAMPUS
Second Line	:	7777 YANKEE ROAD, #16066
City	:	LIBERTY TOWNSHIP
State	:	OH
Zip	:	45044-3500
Country	:	US
Telephone Number	:	513-803-9600
Fax Number	:	513-636-2300

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

Provider Enumeration Date	:	07/30/2009
Last Update Date	:	06/02/2020

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Directions to “ PAULA S SEWARD LISW-S” Practice Location

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