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NPI Code Detail

MEDICARE: JENNIFER BOROVICA LISW

MEDICARE:   JENNIFER  BOROVICA  LISW
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 Worker1451222OH

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 : 1598298788
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER BOROVICA LISW
Provider Business Mailing Address
First Line : 15620 DETROIT AVE STE 108
Second Line :
City : LAKEWOOD
State : OH
Zip : 44107-3708
Country : US
Telephone Number : 216-385-8050
Fax Number :
Provider Business Practice Location Address
First Line : 15620 DETROIT AVE STE 108
Second Line :
City : LAKEWOOD
State : OH
Zip : 44107-3708
Country : US
Telephone Number : 216-385-8050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/05/2017
Last Update Date : 08/01/2025

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Directions to “ JENNIFER BOROVICA LISW” Practice Location

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