Provider Demographics
NPI:1639253271
Name:ILIFF, DON E JR (LISW)
Entity Type:Individual
Prefix:MR
First Name:DON
Middle Name:E
Last Name:ILIFF
Suffix:JR
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 1:3224 JURNEE DR
Mailing Address - Street 2:
Mailing Address - City:FINDLAY
Mailing Address - State:OH
Mailing Address - Zip Code:45840-7922
Mailing Address - Country:US
Mailing Address - Phone:567-525-4169
Mailing Address - Fax:
Practice Address - Street 1:1918 N MAIN ST
Practice Address - Street 2:
Practice Address - City:FINDLAY
Practice Address - State:OH
Practice Address - Zip Code:45840-3818
Practice Address - Country:US
Practice Address - Phone:419-425-5050
Practice Address - Fax:419-423-6464
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH071035101YA0400X
VA0718000152101YA0400X
VA09040039441041C0700X
OHI07002421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA187848OtherANTHEM
VA089206OtherOPTIMA
VA187848OtherANTHEM
VA089206OtherOPTIMA