MEDICARE: MR. ALAN S. GARSON 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	I2366	OH

General Provider Information

NPI Number	:	1770585820
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ALAN S. GARSON LISW

Provider Business Mailing Address
First Line	:	96 E BELMEADOW LN
Second Line	:
City	:	CHAGRIN FALLS
State	:	OH
Zip	:	44022-4220
Country	:	US
Telephone Number	:	440-338-5014
Fax Number	:

Provider Business Practice Location Address
First Line	:	6009 LANDERHAVEN DR
Second Line	:
City	:	MAYFIELD HTS
State	:	OH
Zip	:	44124-4192
Country	:	US
Telephone Number	:	440-646-0671
Fax Number	:

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

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	12/30/2009

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