Provider Demographics
NPI:1770621567
Name:THORNTON, STEVEN M (LISW)
Entity type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:M
Last Name:THORNTON
Suffix:
Gender:M
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8260 NORTHCREEK DR
Mailing Address - Street 2:380
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2293
Mailing Address - Country:US
Mailing Address - Phone:513-271-0803
Mailing Address - Fax:513-272-4132
Practice Address - Street 1:8260 NORTHCREEK DR
Practice Address - Street 2:380
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2293
Practice Address - Country:US
Practice Address - Phone:513-271-0803
Practice Address - Fax:513-272-4132
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI00092691041S0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHI0009269OtherLISW