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NPI Code Detail

MEDICARE: MICHAEL E SPITZ MSW

MEDICARE: MICHAEL E SPITZ 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
1101YM0800XMental Health Counselor
21041C0700XClinical Social Worker24503CA
31041C0700XClinical Social WorkerI.2102755OH

General Provider Information

NPI Number : 1437283975
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL E SPITZ MSW
Provider Business Mailing Address
First Line : 10200 ALLIANCE RD STE 150
Second Line :
City : BLUE ASH
State : OH
Zip : 45242-4754
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 10200 ALLIANCE RD STE 150
Second Line :
City : BLUE ASH
State : OH
Zip : 45242-4754
Country : US
Telephone Number : 425-908-0237
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2007
Last Update Date : 04/13/2021

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