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NPI Code Detail

MEDICARE: MRS. JENNIFER L KRZYNOWEK LSW

MEDICARE: MRS. JENNIFER L KRZYNOWEK 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 Worker
2104100000XSocial WorkerS08000407OH

General Provider Information

NPI Number : 1457597791
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. JENNIFER L KRZYNOWEK LSW
Provider Business Mailing Address
First Line : 1275 LAKESIDE AVE E
Second Line :
City : CLEVELAND
State : OH
Zip : 44114-1129
Country : US
Telephone Number : 216-241-8230
Fax Number : 216-587-6726
Provider Business Practice Location Address
First Line : 1275 LAKESIDE AVE E
Second Line :
City : CLEVELAND
State : OH
Zip : 44114-1129
Country : US
Telephone Number : 216-241-8230
Fax Number : 216-587-6726
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/16/2008
Last Update Date : 03/16/2023

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