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NPI Code Detail

MEDICARE: CARA D. SOCKOL LISW

MEDICARE: CARA D. SOCKOL 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.0030736OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1I 0030736OTHEROHSTATE LICENSE

General Provider Information

NPI Number : 1386001402
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARA D. SOCKOL LISW
Provider Business Mailing Address
First Line : 4400 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-3734
Country : US
Telephone Number : 216-432-7200
Fax Number :
Provider Business Practice Location Address
First Line : 5955 RIDGE RD
Second Line :
City : PARMA
State : OH
Zip : 44129-3936
Country : US
Telephone Number : 440-888-0300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2016
Last Update Date : 08/08/2024

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Directions to “ CARA D. SOCKOL LISW” Practice Location

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