MEDICARE: MS. EMILY CURRIE-MANRING 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
1	1041C0700X	Clinical Social Worker	I0030668	OH

General Provider Information

NPI Number	:	1407054356
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. EMILY CURRIE-MANRING LISW

Provider Business Mailing Address
First Line	:	12445 WOODIN RD
Second Line	:
City	:	CHARDON
State	:	OH
Zip	:	44024-9130
Country	:	US
Telephone Number	:	216-939-3764
Fax Number	:	216-631-3645

Provider Business Practice Location Address
First Line	:	9220 MENTOR AVE
Second Line	:
City	:	MENTOR
State	:	OH
Zip	:	44060-6412
Country	:	US
Telephone Number	:	440-354-9924
Fax Number	:

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

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	01/23/2024

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