Healthcare Provider Details

I. General information

NPI: 1174894778
Provider Name (Legal Business Name): GABRIELA SEHINKMAN MA, LISW-S
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2012
Last Update Date: 08/08/2023
Certification Date: 08/08/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 RICHMOND RD STE 1005
BEACHWOOD OH
44122-1390
US

IV. Provider business mailing address

3628 PALMERSTON RD
SHAKER HEIGHTS OH
44122-5014
US

V. Phone/Fax

Practice location:
  • Phone: 216-410-2832
  • Fax:
Mailing address:
  • Phone: 216-410-2832
  • Fax: 216-651-4145

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI.1000134.SUPV
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: