Provider Demographics
NPI:1952441677
Name:HUBER, RODERICK A (MSW, LISW)
Entity Type:Individual
Prefix:MR
First Name:RODERICK
Middle Name:A
Last Name:HUBER
Suffix:
Gender:M
Credentials:MSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 E 8TH ST
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45202-2129
Mailing Address - Country:US
Mailing Address - Phone:513-241-7745
Mailing Address - Fax:513-241-4333
Practice Address - Street 1:100 E 8TH ST
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-2129
Practice Address - Country:US
Practice Address - Phone:513-241-7745
Practice Address - Fax:513-241-4333
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI 00030491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical