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NPI Code Detail

MEDICARE: CORINNE O'CONNOR LSW

MEDICARE: CORINNE O'CONNOR 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
1104100000XSocial WorkerS.0023387OH

General Provider Information

NPI Number : 1336721489
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORINNE O'CONNOR LSW
Provider Business Mailing Address
First Line : 23366 COMMERCE PARK STE 100B
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-5801
Country : US
Telephone Number : 216-292-2880
Fax Number :
Provider Business Practice Location Address
First Line : 23366 COMMERCE PARK STE 100B
Second Line :
City : BEACHWOOD
State : OH
Zip : 44122-5801
Country : US
Telephone Number : 216-292-2880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/27/2021
Last Update Date : 06/10/2025

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Directions to “ CORINNE O'CONNOR LSW” Practice Location

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