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NPI Code Detail

MEDICARE: SARAH LUKEY CASE LISW

MEDICARE: SARAH LUKEY CASE 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
11041C0700XClinical Social WorkerI.1502382OH

General Provider Information

NPI Number : 1659989564
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARAH LUKEY CASE LISW
Provider Business Mailing Address
First Line : 4790 RED BANK RD STE 128
Second Line :
City : CINCINNATI
State : OH
Zip : 45227-1509
Country : US
Telephone Number : 513-731-3346
Fax Number : 513-672-9539
Provider Business Practice Location Address
First Line : 4790 RED BANK RD STE 128
Second Line :
City : CINCINNATI
State : OH
Zip : 45227-1509
Country : US
Telephone Number : 513-731-3346
Fax Number : 513-672-9539
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2020
Last Update Date : 07/16/2020

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