MEDICARE: MARIAH ROSE POIRIER

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	S.2613583	OH

General Provider Information

NPI Number	:	1750213831
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIAH ROSE POIRIER

Provider Business Mailing Address
First Line	:	5905 THORNHILL CIR UNIT C
Second Line	:
City	:	MILFORD
State	:	OH
Zip	:	45150-1369
Country	:	US
Telephone Number	:	513-544-5692
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 BURNET AVE
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45229-3026
Country	:	US
Telephone Number	:	513-636-6124
Fax Number	:

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

Provider Enumeration Date	:	06/02/2026
Last Update Date	:	06/02/2026

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Directions to “ MARIAH ROSE POIRIER ” Practice Location

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