Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Tadesse M Bantirgu, LSW

Individual provider Clinical Social Worker · NPI 1093179897

Dr. Tadesse M Bantirgu, LSW is a Mental Health Counselor in Cincinnati, Ohio. Qualified in 1995, 31 years ago. Practices with The Crossroads Center, a 4-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
31
Licensed in
OH
In the registry since
2016
Specialties on file
2
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

311 Martin Luther King Dr E
Cincinnati, OH 45219-2581
Phone: (513) 475-5312
Fax: (513) 332-0367
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence S-0024418 (OH)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 021324 (OH)

Record details

NPI number1093179897
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorNo
NPI enumeratedApril 7, 2016
Last updated in NPPESAugust 3, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice The Crossroads Center — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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