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NPI Code Detail

MEDICARE: MICHELLE CLEVELAND

MEDICARE: MICHELLE CLEVELAND
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
1390200000XStudent in an Organized Health Care Education/Training Program
2104100000XSocial WorkerS.2604843-TRNEOH

General Provider Information

NPI Number : 1487504544
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE CLEVELAND
Provider Business Mailing Address
First Line : 6037 CLEVELAND AVE
Second Line :
City : COLUMBUS
State : OH
Zip : 43231-2256
Country : US
Telephone Number : 614-267-7003
Fax Number :
Provider Business Practice Location Address
First Line : 4897 KARL RD
Second Line :
City : COLUMBUS
State : OH
Zip : 43229-5147
Country : US
Telephone Number : 614-846-2588
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2026
Last Update Date : 01/29/2026

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Directions to “ MICHELLE CLEVELAND ” Practice Location

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