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NPI Code Detail

MEDICARE: KAREN LYNN BERESH MSW, LSW

MEDICARE: KAREN LYNN BERESH MSW, LSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerS.1801980OH

General Provider Information

NPI Number : 1053809384
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN LYNN BERESH MSW, LSW
Provider Business Mailing Address
First Line : 615 ELSINORE PL
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-1459
Country : US
Telephone Number : 833-510-4357
Fax Number :
Provider Business Practice Location Address
First Line : 615 ELSINORE PL
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-1459
Country : US
Telephone Number : 833-510-4357
Fax Number : 866-459-6532
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2018
Last Update Date : 04/27/2022

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