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

MS. Mary Yvonne Lake, LISW

Individual provider Clinical Social Worker · NPI 1184161366

MS. Mary Yvonne Lake, LISW is a Clinical Social Worker in Cincinnati, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2017
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

7407 Joseph St
Cincinnati, OH 45231-4437
Phone: (513) 227-0350
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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 I1600268 (OH)

Record details

NPI number1184161366
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorYes
NPI enumeratedJanuary 25, 2017
Last updated in NPPESMarch 24, 2017

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