MEDICARE: SARAH HEBBELER, MSW, LISW, LLC

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	1041C0700X	Clinical Social Worker	I0010015	OH

General Provider Information

NPI Number	:	1306054481
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SARAH HEBBELER, MSW, LISW, LLC

Provider Business Mailing Address
First Line	:	2061 BEECHMONT AVE
Second Line	:	SUITE 2
City	:	CINCINNATI
State	:	OH
Zip	:	45230-1688
Country	:	US
Telephone Number	:	513-807-2307
Fax Number	:

Provider Business Practice Location Address
First Line	:	2061 BEECHMONT AVE
Second Line	:	SUITE 2
City	:	CINCINNATI
State	:	OH
Zip	:	45230-1688
Country	:	US
Telephone Number	:	513-807-2307
Fax Number	:

Authorized Official
Title or Position	:	OUTPATIENT THERAPIST
Name	:	MS. SARAH HEBBELER
Credential	:	MSW, LISW
Telephone Number	:	513-807-2307

Provider Enumeration Date	:	05/20/2007
Last Update Date	:	08/22/2020

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