Basic Information
| Provider Information | |||||||||
| NPI: | 1518397538 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LEVINE-EINFELDT | ||||||||
| FirstName: | MARNIE | ||||||||
| MiddleName: | DANIELLE | ||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | LISW | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1490 UNIVERSITY BLVD | ||||||||
| Address2: | STE A | ||||||||
| City: | HAMILTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 450113306 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5138967887 | ||||||||
| FaxNumber: | 5138965682 | ||||||||
| Practice Location | |||||||||
| Address1: | 1900 FAIRGROVE AVE | ||||||||
| Address2: | |||||||||
| City: | HAMILTON | ||||||||
| State: | OH | ||||||||
| PostalCode: | 450111966 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5138683210 | ||||||||
| FaxNumber: | 5138683249 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/13/2013 | ||||||||
| LastUpdateDate: | 04/16/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 04/16/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | I.1440048 | OH | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.