Provider Demographics
NPI:1467854273
Name:HAIGHT, JILL (LSW)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:HAIGHT
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5837 HAMILTON AVE
Mailing Address - Street 2:TALBERT HOUSE
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224-2923
Mailing Address - Country:US
Mailing Address - Phone:513-541-7577
Mailing Address - Fax:513-541-5895
Practice Address - Street 1:5837 HAMILTON AVE
Practice Address - Street 2:TALBERT HOUSE
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224-2923
Practice Address - Country:US
Practice Address - Phone:513-541-7577
Practice Address - Fax:513-541-5895
Is Sole Proprietor?:No
Enumeration Date:2014-09-24
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS1200262104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker