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NPI Code Detail

MEDICARE: ASHLEY L BERDINE LISW-S

MEDICARE: ASHLEY L BERDINE LISW-S
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
1385H00000XRespite CareI.1800887OH
21041C0700XClinical Social WorkerI.1800887OH
31041C0700XClinical Social WorkerS.1000440OH

Other Identifiers

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

General Provider Information

NPI Number : 1710283692
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY L BERDINE LISW-S
Provider Business Mailing Address
First Line : 650 GRAHAM RD STE 101
Second Line :
City : CUYAHOGA FALLS
State : OH
Zip : 44221-1051
Country : US
Telephone Number : 330-928-0044
Fax Number : 330-928-0303
Provider Business Practice Location Address
First Line : 1100 GRAHAM ROAD CIR
Second Line :
City : STOW
State : OH
Zip : 44224-2901
Country : US
Telephone Number : 330-928-0044
Fax Number : 330-928-0303
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2011
Last Update Date : 01/27/2026

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Directions to “ ASHLEY L BERDINE LISW-S” Practice Location

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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.

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