MEDICARE: DESAREE HEARD

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	171M00000X	Case Manager/Care Coordinator		OH
2	101YA0400X	Addiction (Substance Use Disorder) Counselor		OH

General Provider Information

NPI Number	:	1033064779
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DESAREE HEARD

Provider Business Mailing Address
First Line	:	14206 IDAROSE AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44110-3645
Country	:	US
Telephone Number	:	216-773-6129
Fax Number	:

Provider Business Practice Location Address
First Line	:	14206 IDAROSE AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44110-3645
Country	:	US
Telephone Number	:	216-773-6129
Fax Number	:

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

Provider Enumeration Date	:	02/27/2026
Last Update Date	:	03/03/2026

Similar Medicare Providers

1083469969 — LAVETTE HINTON
Practice Location Address:

3567 NORTHVALE BLVD
CLEVELAND HEIGHTS, OH
44112-3645

Practice Phone: 440-666-4866
Practice Fax:

1578418729 — DEBRA GRIGGS
Practice Location Address:

13410 RUGBY RD
CLEVELAND, OH
44110-2233

Practice Phone: 216-832-3495
Practice Fax:

1831044841 — JOY NICHELLE MALONE
Practice Location Address:

444 E 152ND ST # D
CLEVELAND, OH
44110-1762

Practice Phone: 216-266-1981
Practice Fax:

1942206388 — PAUL F HERGENROEDER MD
Practice Location Address:

17876 SAINT CLAIR AVE
CLEVELAND, OH
44110

Practice Phone: 216-383-2222
Practice Fax: 216-298-0241

1336131192 — MICHAEL THOMAS KLEIN NPC
Practice Location Address:

17876 SAINT CLAIR AVE
CLEVELAND, OH
44110-2602

Practice Phone: 216-390-2547
Practice Fax: 216-430-2826

1568455954 — FREDERICK WILLIAM HEINEMAN MD
Practice Location Address:

17876 SAINT CLAIR AVE
CLEVELAND, OH
44110-2602

Practice Phone: 800-707-8922
Practice Fax:

Directions to “ DESAREE HEARD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.