MEDICARE: BRANDE N ISSLER 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	104100000X	Social Worker	S.2202417-TRNE	OH
2	104100000X	Social Worker	2202417	OH
3	1041C0700X	Clinical Social Worker	I.2507550	OH

General Provider Information

NPI Number	:	1992450340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRANDE N ISSLER LISW

Provider Business Mailing Address
First Line	:	1910 FAIRGROVE AVE STE E
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45011-1930
Country	:	US
Telephone Number	:	513-494-4679
Fax Number	:

Provider Business Practice Location Address
First Line	:	1910 FAIRGROVE AVE STE E
Second Line	:
City	:	HAMILTON
State	:	OH
Zip	:	45011-1930
Country	:	US
Telephone Number	:	513-494-4679
Fax Number	:

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

Provider Enumeration Date	:	02/15/2022
Last Update Date	:	12/10/2025

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Directions to “ BRANDE N ISSLER LISW” Practice Location

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