Provider Demographics
NPI:1578683421
Name:MAYER, SHARI LYN (LISW)
Entity Type:Individual
Prefix:
First Name:SHARI
Middle Name:LYN
Last Name:MAYER
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:SHARI
Other - Middle Name:LYN
Other - Last Name:MAYER-CAMPAGNA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:591 ANDOVER CIR
Mailing Address - Street 2:
Mailing Address - City:BROADVIEW HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44147-4250
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:23811 CHAGRIN BLVD
Practice Address - Street 2:SUITE 280
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5525
Practice Address - Country:US
Practice Address - Phone:216-292-9610
Practice Address - Fax:216-292-9613
Is Sole Proprietor?:No
Enumeration Date:2007-03-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-00083321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical