MEDICARE: JEYRAN SHAHGALDIYEVA 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
1	1041C0700X	Clinical Social Worker	I.2002448-SUPV	OH
2	1041C0700X	Clinical Social Worker	LICSW126208	MA

General Provider Information

NPI Number	:	1295442796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JEYRAN SHAHGALDIYEVA LISW-S

Provider Business Mailing Address
First Line	:	2000 KING JAMES PKWY APT 146
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-3476
Country	:	US
Telephone Number	:	216-970-1747
Fax Number	:

Provider Business Practice Location Address
First Line	:	2000 KING JAMES PKWY APT 146
Second Line	:
City	:	WESTLAKE
State	:	OH
Zip	:	44145-3476
Country	:	US
Telephone Number	:	216-970-1747
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/03/2022
Last Update Date	:	03/13/2026

Similar Medicare Providers

1972282358 — JOAN ANTOINETTE VINSKI
Practice Location Address:

2000 KING JAMES PKWY APT 148
WESTLAKE, OH
44145-3476

Practice Phone: 216-312-5576
Practice Fax:

1023220266 — FRANK BAIRD MFT
Practice Location Address:

141 DUESENBERG DR STE 1A
WESTLAKE VILLAGE, CA
91362-3476

Practice Phone: 818-865-2169
Practice Fax:

1255581161 — VENTURE HUMANITY, INC.
Practice Location Address:

141 DUESENBERG DR STE 1A
WESTLAKE VILLAGE, CA
91362-3476

Practice Phone: 805-807-0652
Practice Fax:

1972449288 — MOLLY NOWAK
Practice Location Address:

24500 CENTER RIDGE RD STE 120
WESTLAKE, OH
44145-5602

Practice Phone: 440-508-6928
Practice Fax:

1508172321 — SAURABH BANSAL MD
Practice Location Address:

805 COLUMBIA RD STE 101
WESTLAKE, OH
44145-1461

Practice Phone: 216-228-5500
Practice Fax: 216-227-2628

1669441580 — WASSIM A EL-HITTI M.D.
Practice Location Address:

805 COLUMBIA RD STE 101
WESTLAKE, OH
44145-1461

Practice Phone: 216-228-5500
Practice Fax: 216-227-2628

Directions to “ JEYRAN SHAHGALDIYEVA LISW-S” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.