Provider Demographics
NPI:1174954176
Name:SWITZER, MARK S (LISW)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:S
Last Name:SWITZER
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 1:5899 HARRISON AVENUE
Mailing Address - Street 2:ML 6011
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45248
Mailing Address - Country:US
Mailing Address - Phone:513-803-8200
Mailing Address - Fax:513-803-8173
Practice Address - Street 1:5899 HARRISON AVENUE
Practice Address - Street 2:ML 6011
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45248
Practice Address - Country:US
Practice Address - Phone:513-803-8200
Practice Address - Fax:513-803-8173
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-02
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-14513471041C0700X
KY51031041C0700X
OHI.14513471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical