Provider Demographics
NPI:1841609377
Name:DENOMA, VERONICA THERESE (LISW)
Entity Type:Individual
Prefix:
First Name:VERONICA
Middle Name:THERESE
Last Name:DENOMA
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8146 HAMILTON AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45231-2324
Mailing Address - Country:US
Mailing Address - Phone:513-588-3623
Mailing Address - Fax:513-728-4064
Practice Address - Street 1:8146 HAMILTON AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45231-2324
Practice Address - Country:US
Practice Address - Phone:513-588-3623
Practice Address - Fax:513-728-4064
Is Sole Proprietor?:No
Enumeration Date:2014-08-08
Last Update Date:2020-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2534381041C0700X
OHS08007111041C0700X
OHI.1600061-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHI.1600061OtherSTATE LICENSE
OH1841609377OtherNPI