MEDICARE: MICHELE E PRATT MSW, 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
1	104100000X	Social Worker	I.2405237	OH

General Provider Information

NPI Number	:	1598247280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE E PRATT MSW, LISW

Provider Business Mailing Address
First Line	:	3250 VICTORY PKWY
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45207-1457
Country	:	US
Telephone Number	:	513-363-8400
Fax Number	:	513-363-8420

Provider Business Practice Location Address
First Line	:	3250 VICTORY PKWY
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45207-1457
Country	:	US
Telephone Number	:	513-363-8400
Fax Number	:	513-363-8420

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

Provider Enumeration Date	:	08/30/2018
Last Update Date	:	10/14/2024

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