Provider Demographics
NPI:1437667979
Name:DRING, MICHAEL PETER (LISW)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:PETER
Last Name:DRING
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:BUILDING 830, CREDENTIALS OFFICE
Mailing Address - Street 2:4881 SUGAR MAPLE RD,
Mailing Address - City:WPAFB
Mailing Address - State:OH
Mailing Address - Zip Code:45433
Mailing Address - Country:US
Mailing Address - Phone:937-257-6639
Mailing Address - Fax:937-904-0611
Practice Address - Street 1:BUILDING 830, CREDENTIALS OFFICE
Practice Address - Street 2:4881 SUGAR MAPLE RD,
Practice Address - City:WPAFB
Practice Address - State:OH
Practice Address - Zip Code:45433
Practice Address - Country:US
Practice Address - Phone:937-257-6639
Practice Address - Fax:937-904-0611
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-18
Last Update Date:2018-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI12004761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical