Healthcare Provider Details

I. General information

NPI: 1841172418
Provider Name (Legal Business Name): DANIEL BARRON
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 07/30/2025
Certification Date: 07/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8806 CINCINNATI DAYTON RD
WEST CHESTER OH
45069-3135
US

IV. Provider business mailing address

5678 BOEHM DR
FAIRFIELD OH
45014-7413
US

V. Phone/Fax

Practice location:
  • Phone: 513-712-5146
  • Fax:
Mailing address:
  • Phone: 312-912-4930
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2506231
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: