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NPI Code Detail

MEDICARE: MRS. DEVRA B. ADELSTEIN L.I.S.W.

MEDICARE:  MRS. DEVRA B. ADELSTEIN  L.I.S.W.
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
1102L00000XPsychoanalystI0000050OH
21041C0700XClinical Social WorkerI0000050OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000361511OTHEROHBC BS NUMBER

General Provider Information

NPI Number : 1124237458
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. DEVRA B. ADELSTEIN L.I.S.W.
Provider Business Mailing Address
First Line : 2621 WELLINGTON RD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44118-4120
Country : US
Telephone Number : 216-932-5693
Fax Number :
Provider Business Practice Location Address
First Line : 2621 WELLINGTON RD
Second Line :
City : CLEVELAND HEIGHTS
State : OH
Zip : 44118-4120
Country : US
Telephone Number : 216-932-5693
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 09/11/2025

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