Provider Demographics
NPI:1477150027
Name:HAYDEN, MEREDITH (LSW)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:HAYDEN
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 1:8721 TIBURON DR
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY
Mailing Address - State:OH
Mailing Address - Zip Code:45249-3529
Mailing Address - Country:US
Mailing Address - Phone:513-417-5091
Mailing Address - Fax:
Practice Address - Street 1:7162 READING RD STE 300
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-3899
Practice Address - Country:US
Practice Address - Phone:513-961-5900
Practice Address - Fax:513-961-5903
Is Sole Proprietor?:No
Enumeration Date:2020-10-07
Last Update Date:2020-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS18029891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical