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NPI Code Detail

MEDICARE: MS. ELLEN M. FALVO LISW-S

MEDICARE: MS. ELLEN M. FALVO LISW-S
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.0029401OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528179959
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ELLEN M. FALVO LISW-S
Provider Business Mailing Address
First Line : 33391 CANTERBURY RD
Second Line :
City : AVON LAKE
State : OH
Zip : 44012-1289
Country : US
Telephone Number : 216-577-1873
Fax Number : 440-314-2111
Provider Business Practice Location Address
First Line : 3500 CARNEGIE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2641
Country : US
Telephone Number : 440-314-2111
Fax Number : 440-260-8576
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/31/2006
Last Update Date : 01/29/2014

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