Provider Demographics
NPI:1124179551
Name:GETGEY, JOHN J (LISW)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:J
Last Name:GETGEY
Suffix:
Gender:M
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3914 MIAMI RD STE 313
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45227-3750
Mailing Address - Country:US
Mailing Address - Phone:513-940-0068
Mailing Address - Fax:513-940-0058
Practice Address - Street 1:3914 MIAMI RD STE 313
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45227-3750
Practice Address - Country:US
Practice Address - Phone:513-940-0068
Practice Address - Fax:513-940-0058
Is Sole Proprietor?:No
Enumeration Date:2007-01-13
Last Update Date:2018-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI0007747104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0158104Medicaid
OH197023000OtherMAGELLAN PROVIDER NUMBER
OH000000106852OtherANTHEM PROVIDER NUMBER