Healthcare Provider Details

I. General information

NPI: 1578180014
Provider Name (Legal Business Name): JUSTINE LAUREN STEELE MSW, LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/01/2020
Last Update Date: 09/30/2026
Certification Date: 09/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3876 INDIAN RIPPLE RD STE A
BEAVERCREEK OH
45440-3448
US

IV. Provider business mailing address

6073 WATERLOO RD
DAYTON OH
45459-1914
US

V. Phone/Fax

Practice location:
  • Phone: 937-230-1058
  • Fax:
Mailing address:
  • Phone: 937-367-2913
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2507414
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: