Provider Demographics
NPI:1457013153
Name:RING, LEE (LISW)
Entity Type:Individual
Prefix:
First Name:LEE
Middle Name:
Last Name:RING
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:
Other - Last Name:RING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:126 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BOWLING GREEN
Mailing Address - State:OH
Mailing Address - Zip Code:43402-2418
Mailing Address - Country:US
Mailing Address - Phone:567-234-6567
Mailing Address - Fax:
Practice Address - Street 1:126 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BOWLING GREEN
Practice Address - State:OH
Practice Address - Zip Code:43402-2418
Practice Address - Country:US
Practice Address - Phone:567-234-6567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-10
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1904157104100000X
OHI.23046091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker