MEDICARE: VICTORIA WINBUSH

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
1	104100000X	Social Worker	I.0002224-SUPV	OH

General Provider Information

NPI Number	:	1275214710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA WINBUSH

Provider Business Mailing Address
First Line	:	2535 WARWICK RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-1331
Country	:	US
Telephone Number	:	216-233-6065
Fax Number	:

Provider Business Practice Location Address
First Line	:	2535 WARWICK RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-1331
Country	:	US
Telephone Number	:	216-233-6065
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2023
Last Update Date	:	07/27/2023

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Directions to “ VICTORIA WINBUSH ” Practice Location

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