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NPI Code Detail

MEDICARE: DR. REBECCA MCMAHAN S.W.

MEDICARE:  DR. REBECCA  MCMAHAN  S.W.
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 WorkerI.2002456-SUPVOH

General Provider Information

NPI Number : 1457712648
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. REBECCA MCMAHAN S.W.
Provider Business Mailing Address
First Line : 24500 CENTER RIDGE RD STE 120
Second Line :
City : WESTLAKE
State : OH
Zip : 44145-5602
Country : US
Telephone Number : 440-973-6550
Fax Number :
Provider Business Practice Location Address
First Line : 4400 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44103-3734
Country : US
Telephone Number : 216-432-7200
Fax Number : 216-432-7253
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2016
Last Update Date : 01/12/2026

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Directions to “ DR. REBECCA MCMAHAN S.W.” Practice Location

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