MEDICARE: JUDY DIANE LEVENDULA 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	I 1229	OH

General Provider Information

NPI Number	:	1558547554
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDY DIANE LEVENDULA LISW

Provider Business Mailing Address
First Line	:	3656 TRAYNHAM RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44122-5145
Country	:	US
Telephone Number	:	216-991-3592
Fax Number	:	216-991-3592

Provider Business Practice Location Address
First Line	:	3656 TRAYNHAM RD
Second Line	:
City	:	SHAKER HEIGHTS
State	:	OH
Zip	:	44122-5145
Country	:	US
Telephone Number	:	216-991-3592
Fax Number	:	216-991-3592

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

Provider Enumeration Date	:	01/21/2008
Last Update Date	:	01/21/2008

Similar Medicare Providers

1316749229 — DEMIKO CHEVALLIER RN
Practice Location Address:

3626 TRAYNHAM RD
SHAKER HEIGHTS, OH
44122-5145

Practice Phone: 760-917-0220
Practice Fax:

1962465708 — DR. ROBERT THOMAS PORTNOW DPM
Practice Location Address:

3691 LEE RD , STE 102
SHAKER HEIGHTS, OH
44120-5145

Practice Phone: 216-491-9902
Practice Fax: 216-491-8151

1912955162 — MADISON LEE PODIATRY INC
Practice Location Address:

3691 LEE RD , SUITE 102
SHAKER HEIGHTS, OH
44120-5145

Practice Phone: 216-491-9902
Practice Fax: 216-491-8151

1386870236 — ESSENTIAL HEALTHCARE SERVICES, INC
Practice Location Address:

3691 LEE RD
SHAKER HEIGHTS, OH
44120-5145

Practice Phone: 216-283-4444
Practice Fax: 216-283-0445

1447533245 — ESSENTIAL HEALTHCARE SERVICES, INC.
Practice Location Address:

3691 LEE RD , SUITE 106
SHAKER HEIGHTS, OH
44120-5145

Practice Phone: 216-283-4444
Practice Fax: 216-283-0445

1063817955 — MS. MARIE WHITSON M.A., LCDCIII, ICADC
Practice Location Address:

3691 LEE RD , SUITE 203
SHAKER HEIGHTS, OH
44120-5145

Practice Phone: 216-751-1771
Practice Fax: 216-581-2804

Directions to “ JUDY DIANE LEVENDULA LISW” 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 © 2007-2025 (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.