=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134341449
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | NANCY Y. POSTOW LISW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/03/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 9900 CARVER RD SUITE 101
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45242-5523
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-793-6600
-----------------------------------------------------
Fax | 513-791-6777
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3867 BLACKWOOD CT
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45236-1034
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-791-4086
-----------------------------------------------------
Fax | 513-791-6777
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | I3209
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------