Healthcare Provider Details

I. General information

NPI: 1598379976
Provider Name (Legal Business Name): JULIE BETH SWAIN LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/03/2020
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1239 CENTRAL AVE
MIDDLETOWN OH
45044-4103
US

IV. Provider business mailing address

1227 CENTRAL AVE
MIDDLETOWN OH
45044-4103
US

V. Phone/Fax

Practice location:
  • Phone: 513-737-1247
  • Fax: 513-737-3639
Mailing address:
  • Phone: 513-737-1247
  • Fax: 513-737-3639

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2607818
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: