MEDICARE: DIONNA N YOUNG 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
1	1041C0700X	Clinical Social Worker	APP-001059091	OH

General Provider Information

NPI Number	:	1801190541
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIONNA N YOUNG LISW

Provider Business Mailing Address
First Line	:	2635 MONETTE CT
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-2831
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2635 MONETTE CT
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45231-2831
Country	:	US
Telephone Number	:	513-257-1890
Fax Number	:

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

Provider Enumeration Date	:	01/10/2011
Last Update Date	:	04/29/2026

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