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General NPI Number Information
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NPI Number | 1700523016
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Entity Type | Individual
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Provider Name | STEFANIE LEOS MSW, LSW
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Gender | Female
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Dates
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Enumeration Date | 05/18/2022
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 5198 RICHMOND RD
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City | BEDFORD HEIGHTS
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State | OH
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Zip | 44146-1331
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Country | US
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Telephone | 216-378-9101
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Fax |
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Provider Business Mailing Address
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Address Line | 326 DENISON AVE
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City | ELYRIA
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State | OH
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Zip | 44035-6604
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Country | US
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Telephone | 440-452-1781
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | S.2106675
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | I.2507436
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License Number State | OH
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