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NPI Code Detail

MEDICARE: GRAHAM SPANGLER LISW

MEDICARE: GRAHAM SPANGLER LISW
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.2507518OH

General Provider Information

NPI Number : 1265235055
Entity Type Code : Individual
Provider Name (Legal Business Name) : GRAHAM SPANGLER LISW
Provider Business Mailing Address
First Line : 4400 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-3734
Country : US
Telephone Number : 216-431-5800
Fax Number :
Provider Business Practice Location Address
First Line : 4400 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-3734
Country : US
Telephone Number : 216-431-5800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/28/2025
Last Update Date : 01/13/2026

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Directions to “ GRAHAM SPANGLER LISW” Practice Location

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