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NPI Code Detail

MEDICARE: BRIDGETT T. BERRY LSW

MEDICARE: BRIDGETT T. BERRY 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
11041C0700XClinical Social WorkerS.0030984OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184931024
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRIDGETT T. BERRY LSW
Provider Business Mailing Address
First Line : 11801 BUCKEYE RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44120-2620
Country : US
Telephone Number : 216-831-2255
Fax Number : 216-378-3906
Provider Business Practice Location Address
First Line : 13201 GRANGER RD STE 8
Second Line :
City : CLEVELAND
State : OH
Zip : 44125-1979
Country : US
Telephone Number : 216-831-2255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2010
Last Update Date : 12/18/2025

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Directions to “ BRIDGETT T. BERRY LSW” Practice Location

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