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NPI Code Detail

MEDICARE: MR. ERIC MICHAEL STEINER LISW

MEDICARE: MR. ERIC MICHAEL STEINER LISW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerI000618OH
21041C0700XClinical Social WorkerI. 0000618OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1164476461
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ERIC MICHAEL STEINER LISW
Provider Business Mailing Address
First Line : 7075 RIVER STYX RD
Second Line :
City : MEDINA
State : OH
Zip : 44256-9709
Country : US
Telephone Number : 330-725-6542
Fax Number :
Provider Business Practice Location Address
First Line : 246 NORTHLAND DR STE 200A
Second Line :
City : MEDINA
State : OH
Zip : 44256-3440
Country : US
Telephone Number : 330-725-9195
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 02/14/2020

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