Provider Demographics
NPI:1811420037
Name:PAIGE, MELNEA (LISW-S)
Entity Type:Individual
Prefix:
First Name:MELNEA
Middle Name:
Last Name:PAIGE
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7672 MONTGOMERY RD # 125
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-4204
Mailing Address - Country:US
Mailing Address - Phone:513-993-5919
Mailing Address - Fax:513-993-5915
Practice Address - Street 1:2200 VICTORY PKWY STE 602
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45206-2837
Practice Address - Country:US
Practice Address - Phone:513-993-5919
Practice Address - Fax:513-993-5915
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-05
Last Update Date:2020-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1501229-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical