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NPI Code Detail

MEDICARE: ANA CRISTINA WEICKERT LSW

MEDICARE: ANA CRISTINA WEICKERT 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.1700180OH

General Provider Information

NPI Number : 1205453818
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA CRISTINA WEICKERT LSW
Provider Business Mailing Address
First Line : 615 ELSINORE PL
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-1459
Country : US
Telephone Number : 513-800-9313
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 : 513-233-4832
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2020
Last Update Date : 04/09/2024

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Directions to “ ANA CRISTINA WEICKERT LSW” Practice Location

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