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NPI Code Detail

MEDICARE: ADRIANE J LEVERT LSW

MEDICARE: ADRIANE J LEVERT 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
1104100000XSocial WorkerS.1700985OH

General Provider Information

NPI Number : 1093220444
Entity Type Code : Individual
Provider Name (Legal Business Name) : ADRIANE J LEVERT LSW
Provider Business Mailing Address
First Line : 349 SKYVIEW RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44109-3749
Country : US
Telephone Number : 216-970-4207
Fax Number :
Provider Business Practice Location Address
First Line : 23412 COMMERCE PARK
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-5813
Country : US
Telephone Number : 216-400-6640
Fax Number : 216-250-7016
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2017
Last Update Date : 10/28/2024

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