Provider Demographics
NPI:1548289226
Name:HARRINGTON, SUZANNE (LISW)
Entity type:Individual
Prefix:
First Name:SUZANNE
Middle Name:
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5010 MAYFIELD RD STE 105
Mailing Address - Street 2:
Mailing Address - City:LYNDHURST
Mailing Address - State:OH
Mailing Address - Zip Code:44124-2611
Mailing Address - Country:US
Mailing Address - Phone:216-970-5404
Mailing Address - Fax:
Practice Address - Street 1:5010 MAYFIELD RD STE 105
Practice Address - Street 2:
Practice Address - City:LYNDHURST
Practice Address - State:OH
Practice Address - Zip Code:44124-2611
Practice Address - Country:US
Practice Address - Phone:216-970-5404
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2023-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.0007706-S1041C0700X
OHI.00077061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000244878OtherANTHEM BLUE CROSS PIN
OHSW76873Medicare PIN
OHHASW76872Medicare PIN