Yaasmeen Siddeeqa Muslima Ibrahim, LCSW | |
5010 Mayfield Rd Ste 210, Lyndhurst, OH 44124-2692 | |
(216) 505-4774 | |
Not Available |
Full Name | Yaasmeen Siddeeqa Muslima Ibrahim |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 5010 Mayfield Rd Ste 210, Lyndhurst, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003515149 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 109796 (Texas) | Secondary |
1041C0700X | Social Worker - Clinical | I.2204166 (Ohio) | Primary |
Entity Name | Life Bridge Therapy Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811510308 PECOS PAC ID: 2668891847 Enrollment ID: O20201008000325 |
Mailing Address | Practice Location Address |
---|---|
Yaasmeen Siddeeqa Muslima Ibrahim, LCSW 12400 Shadow Creek Pkwy Apt 202, Pearland, TX 77584-7348 Ph: (630) 890-1342 | Yaasmeen Siddeeqa Muslima Ibrahim, LCSW 5010 Mayfield Rd Ste 210, Lyndhurst, OH 44124-2692 Ph: (216) 505-4774 |
Mr. Lance Taylor Peterson, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1551 Commodore Rd, Lyndhurst, OH 44124 Phone: 216-544-4407 | |
Kayla Koyfman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5010 Mayfield Rd Ste 306, Lyndhurst, OH 44124 Phone: 216-591-6191 | |
Ms. Kathleen Usaj, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1950 Richmond Rd, Lyndhurst, OH 44124 Phone: 216-448-8608 | |
Kelvette Beacham, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5010 Mayfield Rd Ste 210, Lyndhurst, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Suzanne Harrington, LISW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 5010 Mayfield Rd Ste 105, Lyndhurst, OH 44124 Phone: 216-970-5404 | |
Darlene Scott, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2202 Acacia Park Dr Apt 2507, Lyndhurst, OH 44124 Phone: 216-376-1494 |