MEDICARE: MARY TYLE MARY TYLE, MSW

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	0004431	OH

General Provider Information

NPI Number	:	1619173937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY TYLE MARY TYLE, MSW

Provider Business Mailing Address
First Line	:	1765 EMERALD GLADE LN
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45255-5103
Country	:	US
Telephone Number	:	513-232-7744
Fax Number	:

Provider Business Practice Location Address
First Line	:	1765 EMERALD GLADE LN
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45255-5103
Country	:	US
Telephone Number	:	513-232-7744
Fax Number	:

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

Provider Enumeration Date	:	06/24/2007
Last Update Date	:	07/08/2007

Similar Medicare Providers

1992632814 — MARK T TUCKER JR.
Practice Location Address:

1615 JOSEPH CT
CINCINNATI, OH
45231-5103

Practice Phone: 513-283-5080
Practice Fax:

1083387153 — NIKKIA HITCHCOCK
Practice Location Address:

5103 HAWAIIAN TER APT 6
CINCINNATI, OH
45223-1131

Practice Phone: 513-604-7692
Practice Fax:

1104775733 — CHANELLI D ANGELA KELLY TAYLOR
Practice Location Address:

7002 CONSTITUTION DR
CINCINNATI, OH
45215-5103

Practice Phone: 513-799-7177
Practice Fax:

1033046115 — BROCKMAN BEECHMONT MODERN DENTISTRY PC, INC
Practice Location Address:

7860 BEECHMONT AVE
CINCINNATI, OH
45255-4213

Practice Phone: 513-993-0922
Practice Fax: 513-514-8437

1508793399 — MISS DAWNETTE VERA PATRICE GONZAGUE M.D.
Practice Location Address:

MERCY HEALTH ANDERSON HOSPITAL EMERGENCY MEDICINE RESID , 7500 STATE ROAD
CINCINNATI, OH
45255

Practice Phone: 513-624-4550
Practice Fax:

1407859481 — ANDERSON HEALTHCARE, LTD
Practice Location Address:

8139 BEECHMONT AVE
CINCINNATI, OH
45255-3152

Practice Phone: 513-474-6200
Practice Fax: 513-388-3000

Directions to “ MARY TYLE MARY TYLE, MSW” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.