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Provider Information for 1750791083


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STEPHANIE BEEBE MSW, LSW


Sex: Female

NPI: 1750791083
Last Updated: 2024-01-18
Certification Date: 2024-01-18

Details

NameValue
NPI1750791083
Enumeration Date2014-05-08
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 1033 BURTON AVE
CINCINNATI, OH 45229-2205
United States

Phone: 513-884-3083 | Fax:
 
Primary Practice Address 3333 BURNET AVE.
ML 6019
CINCINNATI, OH 45229-3026
United States

Phone: 513-636-4124 | Fax:513-636-4283
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
No 1041C0700X - Social Worker - ClinicalOHS0700193
Yes 104100000X - Social Worker OHI.1451129