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NPI Code Detail

MEDICARE: LESLIE J ENGEL LISW

MEDICARE: LESLIE J ENGEL 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 WorkerI.2002237OH
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1730684242
Entity Type Code : Individual
Provider Name (Legal Business Name) : LESLIE J ENGEL LISW
Provider Business Mailing Address
First Line : 5555 MAYFIELD RD
Second Line :
City : LYNDHURST
State : OH
Zip : 44124-2939
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5555 MAYFIELD RD
Second Line :
City : LYNDHURST
State : OH
Zip : 44124-2939
Country : US
Telephone Number : 216-839-2273
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2018
Last Update Date : 06/12/2026

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Directions to “ LESLIE J ENGEL LISW” Practice Location

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