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NPI Code Detail

MEDICARE: TODD A WABEKE LISW

MEDICARE: TODD A WABEKE 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
1101Y00000XCounselor9534OH
2104100000XSocial Worker9534OH

General Provider Information

NPI Number : 1922040146
Entity Type Code : Individual
Provider Name (Legal Business Name) : TODD A WABEKE LISW
Provider Business Mailing Address
First Line : 6929 W 130TH ST
Second Line : SUITE 500
City : PARMA HEIGHTS
State : OH
Zip : 44130-7878
Country : US
Telephone Number : 440-842-6867
Fax Number : 440-842-8914
Provider Business Practice Location Address
First Line : 6929 W 130TH ST
Second Line : SUITE 500
City : PARMA HEIGHTS
State : OH
Zip : 44130-7878
Country : US
Telephone Number : 440-842-6867
Fax Number : 440-842-8914
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2006
Last Update Date : 09/11/2025

Similar Medicare Providers

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6929 W 130TH ST , SUITE 500
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Practice Fax: 440-842-8914
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Practice Location Address:
6929 W 130TH ST STE 600
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1720595135 — MRS. LISA CAROLE DANIELS-KRAVITZ LPD
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Practice Fax:

Directions to “ TODD A WABEKE LISW” Practice Location

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