Provider Demographics
NPI:1598089401
Name:BRANSKY, MICHELLE ESPER (LISW-S)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:ESPER
Last Name:BRANSKY
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6009 LANDERHAVEN DR STE F
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44124-4192
Mailing Address - Country:US
Mailing Address - Phone:216-912-0152
Mailing Address - Fax:216-912-0152
Practice Address - Street 1:6009 LANDERHAVEN DR STE F
Practice Address - Street 2:
Practice Address - City:MAYFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44124-4192
Practice Address - Country:US
Practice Address - Phone:216-912-0152
Practice Address - Fax:216-912-0152
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-22
Last Update Date:2016-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH74961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical