Provider Demographics
NPI:1124126198
Name:CATHOLIC SOCIAL SERVICES OF THE MIAMI VALLEY
Entity type:Organization
Organization Name:CATHOLIC SOCIAL SERVICES OF THE MIAMI VALLEY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JODI
Authorized Official - Middle Name:
Authorized Official - Last Name:STROPE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-575-7074
Mailing Address - Street 1:100 S. MAIN AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SIDNEY
Mailing Address - State:OH
Mailing Address - Zip Code:45365
Mailing Address - Country:US
Mailing Address - Phone:397-498-4593
Mailing Address - Fax:937-493-0269
Practice Address - Street 1:100 S. MAIN AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:SIDNEY
Practice Address - State:OH
Practice Address - Zip Code:45365
Practice Address - Country:US
Practice Address - Phone:397-498-4593
Practice Address - Fax:937-493-0269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-21
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2408602Medicaid