Individual
JEREMY WHITAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISW
Contact information
Practice address
100 RIVER VALLEY BLVD, NEW RICHMOND, OH 45157-8566
(513) 553-3114
(513) 553-1032
Mailing address
424 WARDS CORNER RD STE 200, LOVELAND, OH 45140-6966
(513) 576-7700
(513) 576-1020
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0405515
—
OH
Enumeration date
12/15/2017
Last updated
08/21/2025
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