Healthcare Provider Details

I. General information

NPI: 1093641383
Provider Name (Legal Business Name): CARIS ROSE SCHNEIDER LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11890 FAIRHILL RD
CLEVELAND OH
44120-1053
US

IV. Provider business mailing address

11890 FAIRHILL RD
CLEVELAND OH
44120-1053
US

V. Phone/Fax

Practice location:
  • Phone: 216-791-8000
  • Fax: 216-373-1816
Mailing address:
  • Phone: 216-791-8000
  • Fax: 216-373-1816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberS.2614017
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: