Healthcare Provider Details

I. General information

NPI: 1124532130
Provider Name (Legal Business Name): HEATHER LOVITT LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/29/2017
Last Update Date: 11/04/2025
Certification Date: 11/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

767 COLUMBUS AVE
LEBANON OH
45036-1749
US

IV. Provider business mailing address

6881 BEECHMONT AVE
CINCINNATI OH
45230-2907
US

V. Phone/Fax

Practice location:
  • Phone: 513-231-6630
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberS.1701565
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.1701565
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: