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NPI Code Detail

MEDICARE: SHIRLEY ASALE L.I.S.W.

MEDICARE: SHIRLEY ASALE L.I.S.W.
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. 0002320OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1104100000XOTHEROHNPI

General Provider Information

NPI Number : 1427181296
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHIRLEY ASALE L.I.S.W.
Provider Business Mailing Address
First Line : 202 E BAGLEY RD
Second Line :
City : BEREA
State : OH
Zip : 44017-2058
Country : US
Telephone Number : 440-234-2006
Fax Number : 440-234-0787
Provider Business Practice Location Address
First Line : 3500 CARNEGIE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2641
Country : US
Telephone Number : 440-260-8900
Fax Number : 440-260-8576
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2007
Last Update Date : 04/28/2016

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