=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477171569
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | LASHON SAWYER MSSA, PHD, LISW-S
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/06/2020
-----------------------------------------------------
Last Update Date | 12/01/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3401 ENTERPRISE PKWY STE 340-496
-----------------------------------------------------
City | BEACHWOOD
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44122-7341
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 216-496-2396
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3401 ENTERPRISE PKWY STE 340
-----------------------------------------------------
City | BEACHWOOD
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 44122-7340
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 440-232-3374
-----------------------------------------------------
Fax | 888-252-6195
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | I0009634
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------