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NPI Code Detail

MEDICARE: KAITLIN TARESH

MEDICARE: KAITLIN TARESH
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 WorkerS.2613927OH
2104100000XSocial WorkerS.2613927OH
31041S0200XSchool Social WorkerS.2613927OH

General Provider Information

NPI Number : 1891583696
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAITLIN TARESH
Provider Business Mailing Address
First Line : 6434 ASHDALE CT
Second Line :
City : LIBERTY TOWNSHIP
State : OH
Zip : 45044-8610
Country : US
Telephone Number : 540-520-4434
Fax Number :
Provider Business Practice Location Address
First Line : 8809B CINCINNATI DAYTON RD
Second Line :
City : WEST CHESTER
State : OH
Zip : 45069-3134
Country : US
Telephone Number : 513-360-8205
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2025
Last Update Date : 05/26/2026

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Directions to “ KAITLIN TARESH ” Practice Location

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