MEDICARE: ADRIAN SPRINGFIELD LISW-S

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	1041C0700X	Clinical Social Worker	I.1500153-SUPV	OH

General Provider Information

NPI Number	:	1801237185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIAN SPRINGFIELD LISW-S

Provider Business Mailing Address
First Line	:	11811 SHAKER BLVD STE 301
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-1927
Country	:	US
Telephone Number	:	216-273-7073
Fax Number	:	216-273-7361

Provider Business Practice Location Address
First Line	:	11811 SHAKER BLVD STE 301
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44120-1927
Country	:	US
Telephone Number	:	216-273-7073
Fax Number	:	216-273-7361

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

Provider Enumeration Date	:	07/15/2013
Last Update Date	:	01/02/2023

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