| Mr Emerson Lee Douglas, LISW | |
|
30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 | |
| (216) 591-0324 | |
| (216) 591-1243 |
| Full Name | Mr Emerson Lee Douglas |
|---|---|
| Gender | Male |
| Speciality | Social Worker - Clinical |
| Location | 30800 Chagrin Blvd, Pepper Pike, Ohio |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235780016 | NPI | - | NPPES |
| 2864093 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | I.2002146 (Ohio) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Emerson Lee Douglas, LISW 9220 Mentor Ave, Mentor, OH 44060-6412 Ph: (440) 354-9924 | Mr Emerson Lee Douglas, LISW 30800 Chagrin Blvd, Pepper Pike, OH 44124-5925 Ph: (216) 591-0324 |
Mrs. Aminah C. T. Brahim-jimenez, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Jasmine G Jordan, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Kim M Jackson, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3737 Lander Road, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Mrs. Tracey Roman Mckiernan, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-831-0638 | |
Mansi P Ng, LISW-SUPV Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Aria B Honvou, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3737 Lander Road, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Ms. Whitney C Jones, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 |