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General NPI Number Information
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NPI Number | 1396257663
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Entity Type | Individual
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Provider Name | CASEY MAE NIMMO LPC
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Gender | Female
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Dates
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Enumeration Date | 10/26/2017
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Last Update Date | 03/31/2025
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Provider Practice Location Address
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Address Line | 5050 MADISON RD
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City | CINCINNATI
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State | OH
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Zip | 45227-1491
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Country | US
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Telephone | 513-272-2800
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Fax | 513-272-2807
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Provider Business Mailing Address
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Address Line | 4629 AICHOLTZ RD.
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City | CINCINNATI
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State | OH
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Zip | 45244-1557
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Country | US
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Telephone | 513-752-1555
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Fax | 513-753-2144
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C.2204431
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E.2505184
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License Number State | OH
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