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NPI 1104544048

NPI 1104544048 : REBECCA SAVITT LISW : SHAKER HTS, OH

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General NPI Number Information
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    NPI Number           |    1104544048
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    Entity Type          |    Individual 
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    Provider Name        |    REBECCA SAVITT LISW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/17/2022
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    Last Update Date     |    10/12/2025
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Provider Practice Location Address
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    Address Line         |    22001 FAIRMOUNT BLVD 
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    City                 |    SHAKER HTS
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    State                |    OH
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    Zip                  |    44118-4897
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    Country              |    US
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    Telephone            |    216-932-2800
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    22001 FAIRMOUNT BLVD 
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    City                 |    SHAKER HTS
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    State                |    OH
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    Zip                  |    44118-4819
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    S.2207902
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    License Number State |    OH
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