MEDICARE: MR. DANIEL C SMERGLIA MSSA, 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
1	104100000X	Social Worker	S1100435	OH

General Provider Information

NPI Number	:	1568718583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DANIEL C SMERGLIA MSSA, LSW

Provider Business Mailing Address
First Line	:	3135 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44115-2531
Country	:	US
Telephone Number	:	216-391-2030
Fax Number	:	216-391-8946

Provider Business Practice Location Address
First Line	:	3135 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44115-2531
Country	:	US
Telephone Number	:	216-391-2030
Fax Number	:	216-391-8946

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2012
Last Update Date	:	07/27/2012

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