MEDICARE: BRITTANY RENEE ELDRIDGE BA, LSW

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	104100000X	Social Worker	S.1802568	OH

General Provider Information

NPI Number	:	1861967325
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRITTANY RENEE ELDRIDGE BA, LSW

Provider Business Mailing Address
First Line	:	445 E DUBLIN GRANVILLE RD
Second Line	:
City	:	WORTHINGTON
State	:	OH
Zip	:	43085-3192
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6161 OAK TREE BLVD
Second Line	:
City	:	INDEPENDENCE
State	:	OH
Zip	:	44131-2516
Country	:	US
Telephone Number	:	216-588-8777
Fax Number	:

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

Provider Enumeration Date	:	10/10/2018
Last Update Date	:	09/12/2024

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