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NPI Code Detail

MEDICARE: JASMINE MERRIWEATHER LSW

MEDICARE: JASMINE MERRIWEATHER 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
11041C0700XClinical Social WorkerS.1200796OH

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 : 1972927655
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE MERRIWEATHER LSW
Provider Business Mailing Address
First Line : 3737 LANDER RD
Second Line :
City : CLEVELAND
State : OH
Zip : 44124-5712
Country : US
Telephone Number : 216-831-2255
Fax Number :
Provider Business Practice Location Address
First Line : 6001 WOODLAND AVE
Second Line :
City : CLEVELAND
State : OH
Zip : 44104-2762
Country : US
Telephone Number : 216-831-2255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2014
Last Update Date : 02/14/2014

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Directions to “ JASMINE MERRIWEATHER LSW” Practice Location

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