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NPI Code Detail

MEDICARE: CHRISTOPHER MCCOY LSW

MEDICARE: CHRISTOPHER MCCOY 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 WorkerS1450782OH

General Provider Information

NPI Number : 1174064042
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTOPHER MCCOY LSW
Provider Business Mailing Address
First Line : 107 STARGATE DR
Second Line :
City : ELYRIA
State : OH
Zip : 44035-8180
Country : US
Telephone Number : 440-506-2460
Fax Number :
Provider Business Practice Location Address
First Line : 1530 W RIVER RD N
Second Line :
City : ELYRIA
State : OH
Zip : 44035-2791
Country : US
Telephone Number : 440-324-5555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/13/2017
Last Update Date : 02/18/2025

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Directions to “ CHRISTOPHER MCCOY LSW” Practice Location

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