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NPI Code Detail

MEDICARE: AMY M ROBERTS LISW-S

MEDICARE: AMY M ROBERTS LISW-S
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 WorkerI.0700408-SUPVOH

General Provider Information

NPI Number : 1194065318
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMY M ROBERTS LISW-S
Provider Business Mailing Address
First Line : 16603 HARVARD AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-2203
Country : US
Telephone Number : 216-999-7444
Fax Number :
Provider Business Practice Location Address
First Line : 16603 HARVARD AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44128-2203
Country : US
Telephone Number : 216-999-7444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/25/2013
Last Update Date : 01/26/2026

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