Provider Demographics
NPI:1760836688
Name:STIEHL-GREENE, REBECCA (MSW, LSW)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:STIEHL-GREENE
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:STIEHL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11609 GREENRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45251-4214
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:11609 GREENRIDGE DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45251-4214
Practice Address - Country:US
Practice Address - Phone:513-543-4137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-17
Last Update Date:2016-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.0029081104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker