MEDICARE: NATALIE LODIA CHUNN LSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	S.1701839	OH

General Provider Information

NPI Number	:	1003384769
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATALIE LODIA CHUNN LSW

Provider Business Mailing Address
First Line	:	13110 SHAKER SQ STE C-200F
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-2373
Country	:	US
Telephone Number	:	216-253-4047
Fax Number	:

Provider Business Practice Location Address
First Line	:	13110 SHAKER SQ STE C-200F
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-2373
Country	:	US
Telephone Number	:	216-512-0321
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2018
Last Update Date	:	02/18/2020

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Directions to “ NATALIE LODIA CHUNN LSW” Practice Location

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