Provider Demographics
NPI:1659616704
Name:PARDEE-MILLER, ALAINA M (LISW-S)
Entity Type:Individual
Prefix:
First Name:ALAINA
Middle Name:M
Last Name:PARDEE-MILLER
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:ALAINA
Other - Middle Name:M
Other - Last Name:MILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LISW-S
Mailing Address - Street 1:1212 HURON RD E
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44115-1715
Mailing Address - Country:US
Mailing Address - Phone:216-619-6194
Mailing Address - Fax:216-619-6195
Practice Address - Street 1:1212 HURON RD E
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44115-1715
Practice Address - Country:US
Practice Address - Phone:216-619-6194
Practice Address - Fax:216-619-6195
Is Sole Proprietor?:No
Enumeration Date:2012-11-30
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1201380104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker