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LAURA VAIL SAGE INC NPI 1699758250


NPI Information

NPI: 1699758250
Provider Name: LAURA VAIL SAGE INC

Doing Business As: MASON FAMILY COUNSELING

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
5134 CEDAR VILLAGE DR
MASON, OH
ZIP 45040
Phone: (513) 229-7900
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LAURA VAIL SAGE INC is a clinical social worker in Mason, OH. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. LAURA VAIL SAGE INC NPI is 1699758250. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Mason Family Counseling.

The provider's business location address is:

5134 CEDAR VILLAGE DR
MASON, OH
ZIP 45040-717
Phone: (513) 229-7900
Fax: (513) 229-0202

The provider's authorized official is Laura Vail Sage .
The authorized official title is President and has the following contact phone number (513) 229-7900.

The enumeration date for this NPI number is 11/28/2005 and was last updated on 10/17/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)944032OHIONo
21041C0700XSocial WorkerClinicalI 0005442OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1SW25652MEDICARE UPINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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