Provider Demographics
NPI:1306115050
Name:HERSHBERGER, LAURA E (LSW)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:E
Last Name:HERSHBERGER
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7162 READING RD STE 600
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45237-3800
Mailing Address - Country:US
Mailing Address - Phone:513-672-3715
Mailing Address - Fax:
Practice Address - Street 1:7162 READING RD STE 600
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45237-3800
Practice Address - Country:US
Practice Address - Phone:513-672-3715
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-27
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1600107104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHS-1101128OtherOHIO STATE LICENSE