Healthcare Provider Details

I. General information

NPI: 1073635223
Provider Name (Legal Business Name): NELLY RIMINI MA, MSW, LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/06/2007
Last Update Date: 11/09/2023
Certification Date: 11/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

311 ALBERT SABIN WAY
CINCINNATI OH
45229-2838
US

IV. Provider business mailing address

PO BOX 429201
CINCINNATI OH
45242-9201
US

V. Phone/Fax

Practice location:
  • Phone: 513-558-6500
  • Fax:
Mailing address:
  • Phone: 513-558-6500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.0008907-SUPV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: