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NPI Code Detail

MEDICARE: HEATHER N PRICE ACSW, LISW-S

MEDICARE: HEATHER N PRICE ACSW, LISW-S
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
11041C0700XClinical Social WorkerS.1000908OH
21041C0700XClinical Social WorkerI.1201521.SUPVOH
31041C0700XClinical Social Worker
41041C0700XClinical Social WorkerI.1201521-SUPVOH

General Provider Information

NPI Number : 1093017444
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER N PRICE ACSW, LISW-S
Provider Business Mailing Address
First Line : 4721 READING RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-6107
Country : US
Telephone Number : 855-577-7284
Fax Number :
Provider Business Practice Location Address
First Line : 4721 READING RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-6107
Country : US
Telephone Number : 855-577-7284
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2010
Last Update Date : 04/10/2025

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