MEDICARE: MR. BRUCE A CATALANO 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
1	1041C0700X	Clinical Social Worker	I0000685	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	745398	OTHER	OH	CENPATICO
3	341300581BC	OTHER	OH	SUMMA
4	341300581BC	OTHER	OH	APEX
5	N373127	OTHER	OH	WELLCARE
6	341300581048	OTHER	OH	CARESOURCE

General Provider Information

NPI Number	:	1275565400
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BRUCE A CATALANO LISW

Provider Business Mailing Address
First Line	:	3569 RIDGE RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44102-5443
Country	:	US
Telephone Number	:	216-281-0872
Fax Number	:	216-281-9565

Provider Business Practice Location Address
First Line	:	3569 RIDGE RD
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44102-5443
Country	:	US
Telephone Number	:	216-281-0872
Fax Number	:	216-281-9565

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

Provider Enumeration Date	:	07/07/2006
Last Update Date	:	12/21/2011

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Directions to “ MR. BRUCE A CATALANO LISW” Practice Location

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