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NPI Code Detail

MEDICARE: ANGELA SANDHAM LISW-S

MEDICARE: ANGELA SANDHAM 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.2304784OH

General Provider Information

NPI Number : 1972399848
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA SANDHAM LISW-S
Provider Business Mailing Address
First Line : PO BOX 71
Second Line :
City : CHARDON
State : OH
Zip : 44024-0071
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 11100 EUCLID AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44106-1716
Country : US
Telephone Number : 216-844-2566
Fax Number : 121-684-4258
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2025
Last Update Date : 04/17/2025

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Directions to “ ANGELA SANDHAM LISW-S” Practice Location

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