Provider Demographics
NPI:1578014825
Name:WEILER, JOE (LISW-S)
Entity Type:Individual
Prefix:
First Name:JOE
Middle Name:
Last Name:WEILER
Suffix:
Gender:M
Credentials:LISW-S
Other - Prefix:
Other - First Name:JOSEPH
Other - Middle Name:
Other - Last Name:WEILER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW-S
Mailing Address - Street 1:5282 WILLNET DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45238-4372
Mailing Address - Country:US
Mailing Address - Phone:513-281-7880
Mailing Address - Fax:513-281-7884
Practice Address - Street 1:2828 VERNON PL
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45219-2414
Practice Address - Country:US
Practice Address - Phone:513-281-7880
Practice Address - Fax:513-281-7884
Is Sole Proprietor?:No
Enumeration Date:2016-10-21
Last Update Date:2016-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.00303111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical