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NPI Code Detail

MEDICARE: DANIELLE DAVIS

MEDICARE: DANIELLE DAVIS
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 WorkerI.2607806OH

General Provider Information

NPI Number : 1710510193
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIELLE DAVIS
Provider Business Mailing Address
First Line : 2800 EUCLID AVE STE 335
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2496
Country : US
Telephone Number : 216-772-2095
Fax Number :
Provider Business Practice Location Address
First Line : 2800 EUCLID AVE STE 335
Second Line :
City : CLEVELAND
State : OH
Zip : 44115-2496
Country : US
Telephone Number : 216-772-2095
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/13/2020
Last Update Date : 02/23/2026

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Directions to “ DANIELLE DAVIS ” Practice Location

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