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NPI Code Detail

MEDICARE: KAEDEN KASS MSW

MEDICARE:   KAEDEN  KASS  MSW
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 Worker257334KY
21041C0700XClinical Social WorkerS.2106193OH

General Provider Information

NPI Number : 1144001462
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAEDEN KASS MSW
Provider Business Mailing Address
First Line : 5426 VOGEL RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45239-7220
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5426 VOGEL RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45239-7220
Country : US
Telephone Number : 513-546-0561
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2023
Last Update Date : 10/12/2023

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