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General NPI Number Information
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NPI Number | 1730745688
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Entity Type | Individual
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Provider Name | SAVANNAH WILLIAMS LISW
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Gender | Female
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Dates
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Enumeration Date | 05/16/2019
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Last Update Date | 10/04/2025
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Provider Practice Location Address
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Address Line | 12041 RAVENNA RD
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City | CHARDON
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State | OH
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Zip | 44024-7008
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Country | US
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Telephone | 440-286-7154
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Fax | 440-286-1037
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Provider Business Mailing Address
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Address Line | 25101 CHAGRIN BLVD STE 100
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City | BEACHWOOD
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State | OH
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Zip | 44122-5694
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Country | US
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Telephone | 440-650-4417
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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 | 2308910
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 2308910
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License Number State | OH
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