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NPI Code Detail

MEDICARE: SIERRA L MANSFIELD LSW

MEDICARE: SIERRA L MANSFIELD 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
1101YM0800XMental Health CounselorS.2411238OH
2104100000XSocial Worker

General Provider Information

NPI Number : 1164021291
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIERRA L MANSFIELD LSW
Provider Business Mailing Address
First Line : 7560 BLAKE ST APT 526
Second Line :
City : LIBERTY TOWNSHIP
State : OH
Zip : 45069-7577
Country : US
Telephone Number : 330-980-1853
Fax Number :
Provider Business Practice Location Address
First Line : 7243 EASTLAWN DR
Second Line :
City : CINCINNATI
State : OH
Zip : 45237-3515
Country : US
Telephone Number : 513-740-1001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2020
Last Update Date : 04/21/2025

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Directions to “ SIERRA L MANSFIELD LSW” Practice Location

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