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NPI Code Detail

MEDICARE: BETH A REGINELLI LISW

MEDICARE:   BETH A REGINELLI  LISW
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
11041C0700XClinical Social Worker18649OH

General Provider Information

NPI Number : 1487801767
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETH A REGINELLI LISW
Provider Business Mailing Address
First Line : 2600 VICTORY PKWY
Second Line :
City : CINCINNATI
State : OH
Zip : 45206-1711
Country : US
Telephone Number : 513-872-5863
Fax Number : 513-872-5182
Provider Business Practice Location Address
First Line : 7162 READING RD
Second Line : SUITE 500
City : CINCINNATI
State : OH
Zip : 45237-3838
Country : US
Telephone Number : 513-679-4586
Fax Number : 513-872-5182
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2008
Last Update Date : 08/19/2008

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Directions to “ BETH A REGINELLI LISW” Practice Location

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