Healthcare Provider Details

I. General information

NPI: 1528434990
Provider Name (Legal Business Name): CLARE E HOVER S.1600487
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2015
Last Update Date: 05/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7162 READING RD
CINCINNATI OH
45237-3838
US

IV. Provider business mailing address

7162 READING RD
CINCINNATI OH
45237-3838
US

V. Phone/Fax

Practice location:
  • Phone: 513-354-7200
  • Fax: 513-354-7280
Mailing address:
  • Phone: 513-228-7800
  • Fax: 513-695-2952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.1901510
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: