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NPI Code Detail

MEDICARE: SOPHIE MARINO LISW

MEDICARE: SOPHIE MARINO 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.2608050OH
2104100000XSocial WorkerS.1904073OH

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 : 1336794676
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIE MARINO LISW
Provider Business Mailing Address
First Line : 4707 OLD MERCER RD
Second Line :
City : VOLANT
State : PA
Zip : 16156-3111
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 45875 BELL SCHOOL RD STE B
Second Line :
City : EAST LIVERPOOL
State : OH
Zip : 43920-8728
Country : US
Telephone Number : 330-397-6007
Fax Number : 234-254-5655
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/05/2019
Last Update Date : 04/16/2026

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Directions to “ SOPHIE MARINO LISW” Practice Location

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