Healthcare Provider Details

I. General information

NPI: 1043714124
Provider Name (Legal Business Name): CAPRICE HILL LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/22/2018
Last Update Date: 05/17/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7162 READING RD STE 900
CINCINNATI OH
45237-3879
US

IV. Provider business mailing address

10919 SHAKER POINT WAY APT 9
HARRISON OH
45030-4962
US

V. Phone/Fax

Practice location:
  • Phone: 513-258-8304
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberS.1803049
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: