Sally Sederstrom Likozar, LISW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I. 0004863 Issued in OH

Practice address

8445 Munson Rd
Mentor, OH 44060-2410

Phone

(440) 255-1700

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1972634145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "476 HARRIS RD",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441432538",
            "telephone_number": "216-531-9071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8445 MUNSON RD",
            "city": "MENTOR",
            "state": "OH",
            "postal_code": "440602410",
            "telephone_number": "440-255-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIKOZAR",
        "first_name": "SALLY",
        "middle_name": "SEDERSTROM",
        "credential": "LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I. 0004863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Sue Lewis, N.P.
• Adina Bloom Lewkowicz, L.I.S.W.
• Michelle Ann Lieb, O.D.
• Jessica Lieberth, LPCC-S
• Kelly Light, ED.S., NCSP
• Shawn Thomas Lillie, PT, DPT
• Toni Michelle Lima
• Dominique L. Linder
• Anthony-Jared Lino, D.C.
• Hannah Linville

• Clinical Social Worker in Mentor, OH
• Providers in Mentor, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.