Provider Demographics
NPI:1376820068
Name:WEINGARTNER, SONDRA (MSW)
Entity Type:Individual
Prefix:MRS
First Name:SONDRA
Middle Name:
Last Name:WEINGARTNER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5843 HARRISON AVE
Mailing Address - Street 2:SUITE 204
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45248-1647
Mailing Address - Country:US
Mailing Address - Phone:513-823-2043
Mailing Address - Fax:513-823-2043
Practice Address - Street 1:5843 HARRISON AVE
Practice Address - Street 2:SUITE 204
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45248-1647
Practice Address - Country:US
Practice Address - Phone:513-823-2043
Practice Address - Fax:513-823-2043
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-08
Last Update Date:2011-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.0700181104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker