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NPI Code Detail

MEDICARE: MICHAEL JOHN MADIGAN LISW

MEDICARE:   MICHAEL JOHN MADIGAN  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
1104100000XSocial WorkerI9570OH
21041C0700XClinical Social WorkerI.0009570-SUPVOH

General Provider Information

NPI Number : 1780728931
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL JOHN MADIGAN LISW
Provider Business Mailing Address
First Line : 2600 VICTORY PKWY
Second Line :
City : CINCINNATI
State : OH
Zip : 45206-1711
Country : US
Telephone Number : 513-751-7747
Fax Number : 513-872-5182
Provider Business Practice Location Address
First Line : 2600 VICTORY PKWY
Second Line :
City : CINCINNATI
State : OH
Zip : 45206-1711
Country : US
Telephone Number : 513-751-7747
Fax Number : 513-872-5182
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2007
Last Update Date : 12/21/2021

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Directions to “ MICHAEL JOHN MADIGAN LISW” Practice Location

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