Provider Demographics
NPI:1710164256
Name:RICE, PATRICIA M (LISW -S)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:M
Last Name:RICE
Suffix:
Gender:F
Credentials:LISW -S
Other - Prefix:
Other - First Name:SISTER PATRICIA
Other - Middle Name:M
Other - Last Name:RICE, RSM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:8595 BEECHMONT AVE
Mailing Address - Street 2:STE. 303
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-4783
Mailing Address - Country:US
Mailing Address - Phone:513-288-0832
Mailing Address - Fax:
Practice Address - Street 1:8595 BEECHMONT AVE
Practice Address - Street 2:STE. 303
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-4783
Practice Address - Country:US
Practice Address - Phone:513-288-0832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-28
Last Update Date:2017-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI 00048981041C0700X
OHI0004898104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2801052Medicaid
OHSW33791Medicare PIN