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NPI Code Detail

MEDICARE: CHANZE UNIQUE SMITH LISW

MEDICARE: CHANZE UNIQUE SMITH 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.2608199OH

General Provider Information

NPI Number : 1336910629
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHANZE UNIQUE SMITH LISW
Provider Business Mailing Address
First Line : 1744 PAYNE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44114-2910
Country : US
Telephone Number : 216-623-6555
Fax Number :
Provider Business Practice Location Address
First Line : 1744 PAYNE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44114-2910
Country : US
Telephone Number : 216-623-6555
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2024
Last Update Date : 05/24/2026

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Directions to “ CHANZE UNIQUE SMITH LISW” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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