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NPI Code Detail

MEDICARE: ELENA LAW LSW

MEDICARE: ELENA LAW 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
1101YA0400XAddiction (Substance Use Disorder) Counselor162144OH
2104100000XSocial WorkerI.2607650OH

General Provider Information

NPI Number : 1730693664
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELENA LAW LSW
Provider Business Mailing Address
First Line : 27150 MALLARD AVE
Second Line :
City : EUCLID
State : OH
Zip : 44132-1519
Country : US
Telephone Number : 216-309-9312
Fax Number :
Provider Business Practice Location Address
First Line : 8411 BROADWAY AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44105-3932
Country : US
Telephone Number : 216-411-0200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2017
Last Update Date : 01/16/2026

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Directions to “ ELENA LAW LSW” Practice Location

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