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NPI Code Detail

MEDICARE: SUSAN ELLEN AUTRAN LSW

MEDICARE:   SUSAN ELLEN AUTRAN  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.2207839OH

General Provider Information

NPI Number : 1447116835
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN ELLEN AUTRAN LSW
Provider Business Mailing Address
First Line : 3929 HAZEL AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45212-3827
Country : US
Telephone Number : 513-704-0182
Fax Number :
Provider Business Practice Location Address
First Line : 3345 WHITFIELD AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45220-2083
Country : US
Telephone Number : 513-601-8930
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2025
Last Update Date : 12/29/2025

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Directions to “ SUSAN ELLEN AUTRAN LSW” Practice Location

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