MEDICARE: REBECCA CAIONE MSW, 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	S.2005140	OH

General Provider Information

NPI Number	:	1629493622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA CAIONE MSW, LSW

Provider Business Mailing Address
First Line	:	2800 EUCLID AVE STE 100
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44115-2418
Country	:	US
Telephone Number	:	724-413-5877
Fax Number	:

Provider Business Practice Location Address
First Line	:	2800 EUCLID AVE STE 100
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44115-2418
Country	:	US
Telephone Number	:	724-413-5877
Fax Number	:

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

Provider Enumeration Date	:	02/27/2014
Last Update Date	:	02/12/2024

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