| Sean Ogletree | |
|
3443 Amberway Ct Cincinnati OH 45251-3310 | |
| (513) 310-5683 | |
| Not Available |
| Full Name | Sean Ogletree |
|---|---|
| Speciality | Social Worker |
| Location | 3443 Amberway Ct, Cincinnati, Ohio |
| Authorized Official Name and Position | Sean Christopher Ogletree (OWNER) |
| Authorized Official Contact | 5133105683 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sean Ogletree 3443 Amberway Ct Cincinnati OH 45251-3310 Ph: (513) 310-5683 | Sean Ogletree 3443 Amberway Ct Cincinnati OH 45251-3310 Ph: (513) 310-5683 |
| NPI Number | 1679338404 |
|---|---|
| Provider Enumeration Date | 02/20/2024 |
| Last Update Date | 06/03/2024 |
| Certification Date | 05/22/2024 |
| Medicare PECOS PAC ID | 3173065026 |
|---|---|
| Medicare Enrollment ID | O20240606001140 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679338404 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Sean Ogletree |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811354038 PECOS PAC ID: 3870966971 Enrollment ID: I20240412003531 |
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