Provider Demographics
NPI:1871899658
Name:MASTERS, JANE B (MSW, LISW)
Entity type:Individual
Prefix:
First Name:JANE
Middle Name:B
Last Name:MASTERS
Suffix:
Gender:F
Credentials:MSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3766 ASHWORTH DR APT 3
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45208-1853
Mailing Address - Country:US
Mailing Address - Phone:513-561-9729
Mailing Address - Fax:
Practice Address - Street 1:3766 ASHWORTH DR APT 3
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45208-1853
Practice Address - Country:US
Practice Address - Phone:513-561-9729
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-27
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-00092511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical