Provider Demographics
NPI:1811751431
Name:NEUGEBAUER, MALESHIA (OHIO LISW-S)
Entity type:Individual
Prefix:
First Name:MALESHIA
Middle Name:
Last Name:NEUGEBAUER
Suffix:
Gender:F
Credentials:OHIO LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1608 MEADOW SPRINGS CT
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-8805
Mailing Address - Country:US
Mailing Address - Phone:513-235-9343
Mailing Address - Fax:
Practice Address - Street 1:1608 MEADOW SPRINGS CT
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-8805
Practice Address - Country:US
Practice Address - Phone:513-235-9343
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-13
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1000165-SUPV101Y00000X, 1041C0700X
OH4246901171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No171M00000XOther Service ProvidersCase Manager/Care Coordinator