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General NPI Number Information
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NPI Number | 1205265444
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Entity Type | Individual
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Provider Name | LORNA LIBBERT LISW-S
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Gender | Female
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Dates
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Enumeration Date | 11/07/2013
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 4968 GLENWAY AVE
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City | CINCINNATI
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State | OH
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Zip | 45238-3902
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Country | US
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Telephone | 513-991-5261
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 VICTORY PKWY
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City | CINCINNATI
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State | OH
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Zip | 45206-1395
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | KY-5421
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2203936-S
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34008662A
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | KY 3859
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License Number State | KY
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