Provider Demographics
NPI:1568590305
Name:BLEIWEISS, BARBARA SCHAFFER (LISW)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:SCHAFFER
Last Name:BLEIWEISS
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:SCHAFFER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:5640 SPRING GROVE DR
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139-1967
Mailing Address - Country:US
Mailing Address - Phone:440-498-1902
Mailing Address - Fax:
Practice Address - Street 1:29425 CHAGRIN BLVD
Practice Address - Street 2:301
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-4639
Practice Address - Country:US
Practice Address - Phone:216-292-0610
Practice Address - Fax:216-292-0627
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.0002733101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health