Healthcare Provider Details

I. General information

NPI: 1154731024
Provider Name (Legal Business Name): SARAH FENSTERMAKER LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/01/2014
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2170 ANDERSON FERRY RD
CINCINNATI OH
45238-3328
US

IV. Provider business mailing address

1712 RACE ST
CINCINNATI OH
45202-3906
US

V. Phone/Fax

Practice location:
  • Phone: 513-922-4271
  • Fax: 513-922-3936
Mailing address:
  • Phone: 513-922-4271
  • Fax: 513-922-3936

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2406007
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: