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NPI Code Detail

MEDICARE: WILLIAM SCOTT VESTRING LISW

MEDICARE: WILLIAM SCOTT VESTRING 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
1104100000XSocial WorkerS.1803262OH
21041C0700XClinical Social WorkerI.2203685OH

General Provider Information

NPI Number : 1548813397
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM SCOTT VESTRING LISW
Provider Business Mailing Address
First Line : 4327 DELHI RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-5830
Country : US
Telephone Number : 513-630-4243
Fax Number :
Provider Business Practice Location Address
First Line : 4327 DELHI RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45238-5830
Country : US
Telephone Number : 513-630-4243
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2019
Last Update Date : 06/09/2026

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