Healthcare Provider Details

I. General information

NPI: 1861355638
Provider Name (Legal Business Name): CIERA CHANDLER LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10290 ALLIANCE RD
BLUE ASH OH
45242-4710
US

IV. Provider business mailing address

10290 ALLIANCE RD
BLUE ASH OH
45242-4710
US

V. Phone/Fax

Practice location:
  • Phone: 513-792-5100
  • Fax:
Mailing address:
  • Phone: 513-792-5100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberS.1701572
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: