Healthcare Provider Details

I. General information

NPI: 1427621739
Provider Name (Legal Business Name): MADELINE ALESANDRA KAUNAS LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2021
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 W MARKET ST
AKRON OH
44303-1411
US

IV. Provider business mailing address

7819 OAKHURST CIR
BRECKSVILLE OH
44141-1123
US

V. Phone/Fax

Practice location:
  • Phone: 330-996-4600
  • Fax:
Mailing address:
  • Phone: 440-539-0746
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2106477
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.2506932
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: