Elfrida Criss

Individual provider Active NPI Clinical Social Worker · Shaker HTS, OH

NPI 1134428535 · NPPES record last updated Mar 24, 2011

Key facts

NPI
1134428535
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
S. 0016128 (OH)
Practice address
22001 Fairmount Blvd
Shaker HTS, OH 44118-4819
Phone
(216) 932-2800
NPI assigned
Mar 24, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
S. 0016128OHMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X S. 0016128 OH Yes

Addresses

Primary practice location

22001 Fairmount Blvd
Shaker HTS, OH 44118-4819

Mailing address

2405 Falmouth Rd
Fairlawn, OH 44333-3903
Phone (133) 028-9933

Other providers in Shaker HTS, OH

All providers in Shaker HTS, OH · Clinical Social Worker in Ohio

Sources for this page

Verify at the official NPI Registry.