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NPI Code Detail

MEDICARE: VICTORIYA REICH LISW-S

MEDICARE: VICTORIYA REICH LISW-S
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 WorkerI.1201142-SUPVOH

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 : 1205116084
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTORIYA REICH LISW-S
Provider Business Mailing Address
First Line : 7736 BIRCHMONT DR
Second Line :
City : CHAGRIN FALLS
State : OH
Zip : 44022-3970
Country : US
Telephone Number : 440-666-1280
Fax Number :
Provider Business Practice Location Address
First Line : 185 S LIBERTY ST
Second Line :
City : POWELL
State : OH
Zip : 43065-7619
Country : US
Telephone Number : 888-875-8712
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2011
Last Update Date : 05/07/2024

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Directions to “ VICTORIYA REICH LISW-S” Practice Location

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