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NPI Code Detail

MEDICARE: ELENA RODGERS LISW-S

MEDICARE: ELENA RODGERS 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
11041C0700XClinical Social WorkerI.2405436OH
2104100000XSocial WorkerI.2405436OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1912482597
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELENA RODGERS LISW-S
Provider Business Mailing Address
First Line : 150 N MILLER RD STE 450D-5
Second Line :
City : FAIRLAWN
State : OH
Zip : 44333-3770
Country : US
Telephone Number : 216-438-3019
Fax Number : 216-452-2146
Provider Business Practice Location Address
First Line : 150 N MILLER RD STE 450D-5
Second Line :
City : FAIRLAWN
State : OH
Zip : 44333-3770
Country : US
Telephone Number : 216-438-3284
Fax Number : 216-452-2146
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/28/2018
Last Update Date : 01/09/2026

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Directions to “ ELENA RODGERS LISW-S” Practice Location

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