Nina K Miracle, LSW,MSW
Individual provider Active NPI Clinical Social Worker · Hamersville, OH
NPI 1982108544 · NPPES record last updated Mar 20, 2018
Key facts
- NPI
- 1982108544
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- S1303077 (OH)
- Practice address
- 2265 Oak Corner Rd
Hamersville, OH 45130-9425 - Phone
- (513) 432-4527
- NPI assigned
- Mar 20, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1303077 | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Camelot Community Care, Inc | Past |
Accepting new patients | |
| Camelot Community Care, Inc. | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | S1303077 | OH | Yes |
Addresses
Primary practice location
2265 Oak Corner Rd
Hamersville, OH 45130-9425
Mailing address
2265 Oak Corner Rd
Hamersville, OH 45130-9425
Phone (513) 432-4527
Other practice location 1
7162 Reading Rd Ste 300
Cincinnati, OH 45237-3899
Phone (513) 961-5900
Other providers in Hamersville, OH
- Christa Healey
- Destiny Lynn Jeffers
- Ashley Kidd
- Karen Malott-Badawi
- Desree Marshall
- Laurie Dell Orr
- Anita Mae Owen
- Lyndsay Dawn Reid
- Crystal Lynn Rutherford
- Victoria Schmidt
All providers in Hamersville, OH · Clinical Social Worker in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 20, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.