Healthcare Provider Details
I. General information
NPI: 1831357102
Provider Name (Legal Business Name): LORIE A ZIRKLE MSW, LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 05/23/2008
Last Update Date: 12/04/2024
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
5050 MADISON RD
CINCINNATI OH
45227-1491
US
IV. Provider business mailing address
8809B CINCINNATI DAYTON ROAD
WEST CHESTER OH
45069
US
V. Phone/Fax
- Phone: 513-272-2800
- Fax:
- Phone: 513-360-8205
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | I.2406030 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: