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NPI Code Detail

MEDICARE: TENIA LEE

MEDICARE: TENIA LEE
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
1172V00000XCommunity Health Worker
2101Y00000XCounselorS.2411645OH
3104100000XSocial Worker
4171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1609659051
Entity Type Code : Individual
Provider Name (Legal Business Name) : TENIA LEE
Provider Business Mailing Address
First Line : 434 EASTLAND RD
Second Line :
City : BEREA
State : OH
Zip : 44017-1217
Country : US
Telephone Number : 440-234-2006
Fax Number :
Provider Business Practice Location Address
First Line : 3500 CARNEGIE AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2641
Country : US
Telephone Number : 440-234-2006
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2023
Last Update Date : 03/13/2026

Similar Medicare Providers

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1386622934 — MR. KEVIN JAMES WILLIAMSON PCC-S
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1528179959 — MS. ELLEN M. FALVO LISW-S
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1467531673 — COLLEEN LYNETTE GRABOWSKI MA, MFCS, PCC-S
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Directions to “ TENIA LEE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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