Catholic Charities Of Southwestern Ohio | |
7162 Reading Rd Suite 600 Cincinnati OH 45237-3838 | |
(513) 241-7745 | |
(513) 241-4333 |
Full Name | Catholic Charities Of Southwestern Ohio |
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Speciality | Voluntary or Charitable |
Location | 7162 Reading Rd, Cincinnati, Ohio |
Authorized Official Name and Position | Ted Bergh (CEO) |
Authorized Official Contact | 5132417745 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Catholic Charities Of Southwestern Ohio 7162 Reading Rd Suite 600 Cincinnati OH 45237-3838 Ph: (513) 241-7745 | Catholic Charities Of Southwestern Ohio 7162 Reading Rd Suite 600 Cincinnati OH 45237-3838 Ph: (513) 241-7745 |
NPI Number | 1740203843 |
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Provider Enumeration Date | 07/26/2006 |
Last Update Date | 09/18/2019 |
Medicare PECOS PAC ID | 6901794577 |
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Medicare Enrollment ID | O20221123002523 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740203843 | NPI | - | NPPES |
01274 | Other | OH | UCI |
21700 | Medicaid | OH | |
0368 | Other | OH | ODMH CERTIFICATION NUMBER |
2919677 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101Y00000X | Counselor | (* (Not Available)) | Secondary |
104100000X | Social Worker | (* (Not Available)) | Secondary |
251V00000X | Voluntary Or Charitable | (* (Not Available)) | Primary |
Provider Name | Roberto R Soria |
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Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1417020819 PECOS PAC ID: 2365462843 Enrollment ID: I20051129000594 |
Provider Name | Laura E Hershberger |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1306115050 PECOS PAC ID: 2961663380 Enrollment ID: I20120412000021 |
Provider Name | Rosa M Reyes-santana |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1023470622 PECOS PAC ID: 5294099362 Enrollment ID: I20180426001657 |
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