Healthcare Provider Details

I. General information

NPI: 1033571344
Provider Name (Legal Business Name): MARILYN MCGEE ZIPFEL LISW-S, LICDC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/25/2016
Last Update Date: 03/25/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

909 SYCAMORE ST
CINCINNATI OH
45202-1305
US

IV. Provider business mailing address

909 SYCAMORE STREET
CINCINNATI OH
45202
US

V. Phone/Fax

Practice location:
  • Phone: 513-618-4208
  • Fax: 513-352-1342
Mailing address:
  • Phone: 513-618-4208
  • Fax: 513-352-1345

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number892578
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberI2368
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: