MEDICARE: CATHOLIC CHARITIES SOUTHWESTERN OHIO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	104100000X	Social Worker
3	251V00000X	Voluntary or Charitable Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01274	OTHER	OH	UCI
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	0368	OTHER	OH	ODMH CERTIFICATION NUMBER
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740203843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CATHOLIC CHARITIES SOUTHWESTERN OHIO

Provider Business Mailing Address
First Line	:	7162 READING RD
Second Line	:	SUITE 600
City	:	CINCINNATI
State	:	OH
Zip	:	45237-3838
Country	:	US
Telephone Number	:	513-241-7745
Fax Number	:	513-241-4333

Provider Business Practice Location Address
First Line	:	7162 READING RD
Second Line	:	SUITE 600
City	:	CINCINNATI
State	:	OH
Zip	:	45237-3838
Country	:	US
Telephone Number	:	513-241-7745
Fax Number	:	513-241-4333

Authorized Official
Title or Position	:	CEO
Name	:	MR. TED BERGH
Credential	:
Telephone Number	:	513-241-7745

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	09/18/2019

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Directions to “CATHOLIC CHARITIES SOUTHWESTERN OHIO ” Practice Location

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