Healthcare Provider Details

I. General information

NPI: 1487795175
Provider Name (Legal Business Name): CAROLYN SZWEDA MSW LISW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 S COURT ST SUITE 8
MEDINA OH
44256-2259
US

IV. Provider business mailing address

13281 SPRUCE RUN DR #309
NORTH ROYALTON OH
44133-4280
US

V. Phone/Fax

Practice location:
  • Phone: 330-723-7977
  • Fax: 330-725-5177
Mailing address:
  • Phone: 440-582-8396
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberI-0008402
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: