Provider Demographics
NPI:1407051170
Name:ENGLISH, ELIZABETH JULIANA (MSSA, LSW)
Entity Type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:JULIANA
Last Name:ENGLISH
Suffix:
Gender:F
Credentials:MSSA, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5518 BIDDULPH AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44144-3501
Mailing Address - Country:US
Mailing Address - Phone:216-741-3720
Mailing Address - Fax:
Practice Address - Street 1:5518 BIDDULPH AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44144-3501
Practice Address - Country:US
Practice Address - Phone:216-741-3720
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH00168851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical