Provider Demographics
NPI:1235684267
Name:QUINTER, CARLEY ELIZABETH (MSW, LSW)
Entity Type:Individual
Prefix:MISS
First Name:CARLEY
Middle Name:ELIZABETH
Last Name:QUINTER
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2534 VICTORY PKWY
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45206-2004
Mailing Address - Country:US
Mailing Address - Phone:937-654-3321
Mailing Address - Fax:513-684-7953
Practice Address - Street 1:2534 VICTORY PKWY
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45206-2004
Practice Address - Country:US
Practice Address - Phone:937-654-3321
Practice Address - Fax:513-684-7953
Is Sole Proprietor?:No
Enumeration Date:2016-08-19
Last Update Date:2016-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1451002104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker