MEDICARE: MARCINA K SIMS CARE COORDINATOR

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1669304408
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARCINA K SIMS CARE COORDINATOR

Provider Business Mailing Address
First Line	:	3100 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44115-2508
Country	:	US
Telephone Number	:	216-361-4400
Fax Number	:	216-361-4400

Provider Business Practice Location Address
First Line	:	3100 EUCLID AVE
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44115-2508
Country	:	US
Telephone Number	:	216-361-4400
Fax Number	:	216-361-4400

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

Provider Enumeration Date	:	06/03/2026
Last Update Date	:	06/03/2026

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