MEDICARE: SCOTT SCHLACHTER INC.

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	IOOO4633	OH

General Provider Information

NPI Number	:	1346300605
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SCOTT SCHLACHTER INC.

Provider Business Mailing Address
First Line	:	23175 COMMERCE PARK # B
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-5806
Country	:	US
Telephone Number	:	216-464-5500
Fax Number	:	216-378-8900

Provider Business Practice Location Address
First Line	:	23175 COMMERCE PARK STE B
Second Line	:
City	:	BEACHWOOD
State	:	OH
Zip	:	44122-5806
Country	:	US
Telephone Number	:	216-464-5500
Fax Number	:	216-378-8900

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. SCOTT DAVID SCHLACHTER
Credential	:	LISW
Telephone Number	:	216-544-5852

Provider Enumeration Date	:	12/09/2006
Last Update Date	:	03/09/2024

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