Healthcare Provider Details

I. General information

NPI: 1861340879
Provider Name (Legal Business Name): PARCEANUR WHITTSETTE LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2026
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6100 OAK TREE BLVD STE 200
INDEPENDENCE OH
44131-6914
US

IV. Provider business mailing address

1544 TIMBER TRL
HUDSON OH
44236-5319
US

V. Phone/Fax

Practice location:
  • Phone: 330-618-9406
  • Fax:
Mailing address:
  • Phone: 330-618-9406
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: