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NPI Code Detail

MEDICARE: MR. MONSHARE V HUGHES LISW, LICSC

MEDICARE: MR. MONSHARE V HUGHES LISW, LICSC
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
1101YA0400XAddiction (Substance Use Disorder) CounselorLICDC.162384OH
21041C0700XClinical Social WorkerI.2405303OH

General Provider Information

NPI Number : 1588161897
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MONSHARE V HUGHES LISW, LICSC
Provider Business Mailing Address
First Line : 615 ELSINORE PL STE 200
Second Line :
City : CINCINNATI
State : OH
Zip : 45202-1457
Country : US
Telephone Number : 513-834-7063
Fax Number :
Provider Business Practice Location Address
First Line : 2805 GILBERT AVE
Second Line :
City : CINCINNATI
State : OH
Zip : 45206-1210
Country : US
Telephone Number : 513-815-4475
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2018
Last Update Date : 05/26/2026

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