Healthcare Provider Details

I. General information

NPI: 1114880192
Provider Name (Legal Business Name): RAYNE STOKES
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/05/2025
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10900 EUCLID AVE
CLEVELAND OH
44106-1712
US

IV. Provider business mailing address

1120 CHESTER AVE
CLEVELAND OH
44114-3546
US

V. Phone/Fax

Practice location:
  • Phone: 216-368-2000
  • Fax:
Mailing address:
  • Phone: 708-715-3962
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2613607
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: