Healthcare Provider Details

I. General information

NPI: 1184279929
Provider Name (Legal Business Name): AMBER JONES SWT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/08/2019
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1171 E KEMPER RD
CINCINNATI OH
45246-3322
US

IV. Provider business mailing address

1171 E KEMPER RD
CINCINNATI OH
45246-3322
US

V. Phone/Fax

Practice location:
  • Phone: 513-461-2158
  • Fax:
Mailing address:
  • Phone: 513-461-2158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2605090-TRNE
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: