MEDICARE: MICHAEL J ARMIN 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	LISW I1471	OH

General Provider Information

NPI Number	:	1528115383
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL J ARMIN LISW

Provider Business Mailing Address
First Line	:	4344 BAINTREE RD
Second Line	:
City	:	UNIVERSITY HEIGHTS
State	:	OH
Zip	:	44118-3931
Country	:	US
Telephone Number	:	216-392-5026
Fax Number	:

Provider Business Practice Location Address
First Line	:	4344 BAINTREE RD
Second Line	:
City	:	UNIVERSITY HEIGHTS
State	:	OH
Zip	:	44118-3931
Country	:	US
Telephone Number	:	440-461-1334
Fax Number	:

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

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	11/18/2011

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