Provider Demographics
NPI:1356645170
Name:VENEZIANO, ANNE DEBORAH (LISW-S, JD)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:DEBORAH
Last Name:VENEZIANO
Suffix:
Gender:F
Credentials:LISW-S, JD
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Other - First Name:
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Mailing Address - Street 1:2440 SOM CENTER RD
Mailing Address - Street 2:
Mailing Address - City:PEPPER PIKE
Mailing Address - State:OH
Mailing Address - Zip Code:44124-4214
Mailing Address - Country:US
Mailing Address - Phone:216-926-7091
Mailing Address - Fax:216-292-0033
Practice Address - Street 1:8227 BRECKSVILLE RD
Practice Address - Street 2:STE 104
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-1370
Practice Address - Country:US
Practice Address - Phone:216-926-7091
Practice Address - Fax:216-292-0033
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-08
Last Update Date:2011-01-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OHI-00035281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical