Healthcare Provider Details

I. General information

NPI: 1598247280
Provider Name (Legal Business Name): MICHELE E PRATT MSW, LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2018
Last Update Date: 10/14/2024
Certification Date: 10/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3250 VICTORY PKWY
CINCINNATI OH
45207-1457
US

IV. Provider business mailing address

3250 VICTORY PKWY
CINCINNATI OH
45207-1457
US

V. Phone/Fax

Practice location:
  • Phone: 513-363-8400
  • Fax: 513-363-8420
Mailing address:
  • Phone: 513-363-8400
  • Fax: 513-363-8420

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberI.2405237
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: