Healthcare Provider Details

I. General information

NPI: 1437020310
Provider Name (Legal Business Name): JANICE LEE MCQUEEN-CLAY LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4721 READING RD
CINCINNATI OH
45237-6107
US

IV. Provider business mailing address

1566 SECTION RD
CINCINNATI OH
45237-2641
US

V. Phone/Fax

Practice location:
  • Phone: 513-653-0907
  • Fax:
Mailing address:
  • Phone: 513-653-0907
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.0008371
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: