MEDICARE: RONEISHA SMITH 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
1	104100000X	Social Worker	S.1303277	OH

General Provider Information

NPI Number	:	1558187294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONEISHA SMITH LSW

Provider Business Mailing Address
First Line	:	5410 TILBURY CT
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-5213
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5410 TILBURY CT
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45238-5213
Country	:	US
Telephone Number	:	513-535-0372
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/26/2024
Last Update Date	:	11/26/2024

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Directions to “ RONEISHA SMITH LSW” Practice Location

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