Provider Demographics
NPI:1588062624
Name:WEST, CARL LUIS (MSW, LISW, M ARCH)
Entity type:Individual
Prefix:MR
First Name:CARL
Middle Name:LUIS
Last Name:WEST
Suffix:
Gender:M
Credentials:MSW, LISW, M ARCH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10979 REED HARTMAN HWY STE 226
Mailing Address - Street 2:
Mailing Address - City:BLUE ASH
Mailing Address - State:OH
Mailing Address - Zip Code:45242-2882
Mailing Address - Country:US
Mailing Address - Phone:513-291-3921
Mailing Address - Fax:
Practice Address - Street 1:10979 REED HARTMAN HWY STE 226
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-2882
Practice Address - Country:US
Practice Address - Phone:513-291-3921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-05
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.17000311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical