Victoria Rachel Beder, LISW
Individual provider Active NPI Clinical Social Worker · Solon, OH
NPI 1891308508 · NPPES record last updated Aug 24, 2020
Key facts
- NPI
- 1891308508
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- I.1901616 (OH)
- Practice address
- 5043 Cheswick Dr
Solon, OH 44139-1201 - Phone
- (917) 232-3062
- NPI assigned
- Aug 24, 2020
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| I.1901616 | OH | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I.1901616 | OH | Yes |
Addresses
Primary practice location
5043 Cheswick Dr
Solon, OH 44139-1201
Mailing address
5043 Cheswick Dr
Solon, OH 44139-1201
Phone (917) 232-3062
Other providers in Solon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.