Healthcare Provider Details

I. General information

NPI: 1568514230
Provider Name (Legal Business Name): JULIE ANN SELL-SMITH MSW, LISW-S, PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/16/2007
Last Update Date: 07/24/2025
Certification Date: 07/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

778 CINCINNATI BATAVIA PIKE
CINCINNATI OH
45245-1213
US

IV. Provider business mailing address

2117 BEECHMONT AVE
CINCINNATI OH
45230-5414
US

V. Phone/Fax

Practice location:
  • Phone: 513-536-6228
  • Fax:
Mailing address:
  • Phone: 513-544-0312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License NumberP.07717
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License NumberP.07717
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI-0600037
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: