MEDICARE: MS. HEATHER L OGREN CSW,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
1	104100000X	Social Worker	4889	KY
2	104100000X	Social Worker		OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1255480950
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. HEATHER L OGREN CSW,MSW,LSW

Provider Business Mailing Address
First Line	:	551 CINCINNATI BATAVIA PIKE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45244-1518
Country	:	US
Telephone Number	:	513-752-1555
Fax Number	:

Provider Business Practice Location Address
First Line	:	551 CINCINNATI BATAVIA PIKE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45244-1518
Country	:	US
Telephone Number	:	513-752-1555
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2007
Last Update Date	:	02/13/2014

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