Individual
MR. GREGORY SHELDON RUSK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
1060 NIMITZVIEW DR STE 215, CINCINNATI, OH 45230-4351
(513) 260-8825
(513) 832-2993
Mailing address
1060 NIMITZVIEW DR STE 215, CINCINNATI, OH 45230-4351
(513) 260-8825
(513) 832-2993
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I.0000580-SUPV
OH
106H00000X
Marriage & Family Therapist
F.0000092
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0316251
—
OH
01
—
270347000
MAGELLAN
OH
Enumeration date
06/15/2005
Last updated
05/01/2025
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