Provider Demographics
NPI:1962857029
Name:NEAL, DARLENE (LISW)
Entity Type:Individual
Prefix:MS
First Name:DARLENE
Middle Name:
Last Name:NEAL
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 1:2741 ATLANTIC AVE
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45209-2001
Mailing Address - Country:US
Mailing Address - Phone:513-254-1362
Mailing Address - Fax:
Practice Address - Street 1:2741 ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45209-2001
Practice Address - Country:US
Practice Address - Phone:513-254-1362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-26
Last Update Date:2016-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.0008902251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health