Provider Demographics
NPI:1871182352
Name:KAUFMAN, CORINNE (LISW)
Entity Type:Individual
Prefix:
First Name:CORINNE
Middle Name:
Last Name:KAUFMAN
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 1:7502 STATE ROAD
Mailing Address - Street 2:SUITE 3350
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45255-2801
Mailing Address - Country:US
Mailing Address - Phone:513-231-3345
Mailing Address - Fax:513-231-6739
Practice Address - Street 1:7502 STATE ROAD
Practice Address - Street 2:SUITE 3350
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45255-2801
Practice Address - Country:US
Practice Address - Phone:513-231-3345
Practice Address - Fax:513-231-6739
Is Sole Proprietor?:No
Enumeration Date:2021-01-11
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.20022201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical