Provider Demographics
NPI:1407575582
Name:GAFFNEY, ADOLPHUS EDWARD (MSW-LSW)
Entity Type:Individual
Prefix:MR
First Name:ADOLPHUS
Middle Name:EDWARD
Last Name:GAFFNEY
Suffix:
Gender:M
Credentials:MSW-LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1984 SAGAMORE DR
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-2434
Mailing Address - Country:US
Mailing Address - Phone:216-526-3163
Mailing Address - Fax:
Practice Address - Street 1:24100 CHAGRIN BLVD STE 330
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5552
Practice Address - Country:US
Practice Address - Phone:216-245-6065
Practice Address - Fax:216-245-6770
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-23
Last Update Date:2022-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.22072301041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical