MEDICARE: JENNIFER BOROVICA 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	1451222	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598298788
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNIFER BOROVICA LISW

Provider Business Mailing Address
First Line	:	15620 DETROIT AVE STE 108
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-3708
Country	:	US
Telephone Number	:	216-385-8050
Fax Number	:

Provider Business Practice Location Address
First Line	:	15620 DETROIT AVE STE 108
Second Line	:
City	:	LAKEWOOD
State	:	OH
Zip	:	44107-3708
Country	:	US
Telephone Number	:	216-385-8050
Fax Number	:

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

Provider Enumeration Date	:	04/05/2017
Last Update Date	:	08/01/2025

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