Provider Demographics
NPI:1114287927
Name:SPICER, CATRINA (LISW)
Entity Type:Individual
Prefix:MS
First Name:CATRINA
Middle Name:
Last Name:SPICER
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:600 W LOVELAND AVE STE 2A
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:45140-2360
Mailing Address - Country:US
Mailing Address - Phone:513-683-4673
Mailing Address - Fax:
Practice Address - Street 1:600 W LOVELAND AVE STE 2A
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:OH
Practice Address - Zip Code:45140-2360
Practice Address - Country:US
Practice Address - Phone:513-683-4673
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-25
Last Update Date:2020-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI. 0007470 SUPV103K00000X
OHI0007470104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst