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NPI Code Detail

MEDICARE: SHANEL GORMAN LSW

MEDICARE: SHANEL GORMAN 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
1171M00000XCase Manager/Care Coordinator
2104100000XSocial WorkerS.2411653OH

General Provider Information

NPI Number : 1558018705
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHANEL GORMAN LSW
Provider Business Mailing Address
First Line : 2554 W 25TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-4700
Country : US
Telephone Number : 216-781-2250
Fax Number :
Provider Business Practice Location Address
First Line : 2554 W 25TH ST
Second Line :
City : CLEVELAND
State : OH
Zip : 44113-4700
Country : US
Telephone Number : 216-781-2250
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2022
Last Update Date : 01/16/2026

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Directions to “ SHANEL GORMAN LSW” Practice Location

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