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General NPI Number Information
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NPI Number | 1912482597
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Entity Type | Individual
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Provider Name | ELENA RODGERS LISW-S
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Gender | Female
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Dates
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Enumeration Date | 09/28/2018
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 150 N MILLER RD STE 450D-5
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City | FAIRLAWN
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State | OH
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Zip | 44333-3770
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Country | US
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Telephone | 216-438-3284
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Fax | 216-452-2146
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Provider Business Mailing Address
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Address Line | 150 N MILLER RD STE 450D-5
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City | FAIRLAWN
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State | OH
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Zip | 44333-3770
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Country | US
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Telephone | 216-438-3019
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Fax | 216-452-2146
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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 | I.2405436
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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 | I.2405436
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License Number State | OH
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