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Provider Information for 1376796722


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Please Note: Issuance of an NPI does not ensure or validate that the Health Care Provider is Licensed or Credentialed. For more information please refer to NPI: What You Need to Know

Mrs. BERNICE RAEANN CALHOUN LCSW, ACADC


Sex: Female

NPI: 1376796722
Last Updated: 2019-04-24
Certification Date:

Details

NameValue
NPI1376796722
Enumeration Date2008-10-29
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 237 WILLIAM HOWARD TAFT RD
CINCINNATI, OH 45219-2610
United States

Phone: 513-351-9900 | Fax:
 
Primary Practice Address 1955 DIXIE HWY STE D
FT WRIGHT, KY 41011
United States

Phone: 859-341-5757 | Fax:859-331-4757
 
Secondary Practice Address(es)

5314 DELHI RD STE 1
CINCINNATI, OH 45238
United States

Phone: 513-347-6922 | Fax:513-347-6955
 

5314 DELHI RD STE 1
CINCINNATI, OH 45238
United States

Phone: 513-347-6922 | Fax:513-347-6955
 

2156 CHAMBER CENTER DR
LAKESIDE PARK, KY 41017-1669
United States

Phone: 859-341-6255 | Fax:859-547-1197
 

1838 FLORENCE PIKE
BURLINGTON, KY 41005-7996
United States

Phone: 859-334-0217 | Fax:859-534-5888
 

Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 101YA0400X - Counselor - Addiction (Substance Use Disorder)KYLCADC240049
No 104100000X - Social Worker OHI.1901561
No 1041C0700X - Social Worker - ClinicalIDLCSW30635
Yes 1041C0700X - Social Worker - ClinicalKYLCSW252850