MEDICARE: MS. ANITA DELUNA BECHTOLD SR. MSW, 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	1041C0700X	Clinical Social Worker	S31710	OH

General Provider Information

NPI Number	:	1588600811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANITA DELUNA BECHTOLD SR. MSW, LSW

Provider Business Mailing Address
First Line	:	2515 FAIRHILL DR
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45239-7204
Country	:	US
Telephone Number	:	513-542-2472
Fax Number	:	513-921-8222

Provider Business Practice Location Address
First Line	:	3740 GLENWAY AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45205-1354
Country	:	US
Telephone Number	:	513-354-5679
Fax Number	:	513-921-8222

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

Provider Enumeration Date	:	06/22/2006
Last Update Date	:	07/08/2007

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