Provider Demographics
NPI:1689353377
Name:STUTZ, VALERIA A (SWT)
Entity Type:Individual
Prefix:
First Name:VALERIA
Middle Name:A
Last Name:STUTZ
Suffix:
Gender:F
Credentials:SWT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7911 DETROIT AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44102-2815
Mailing Address - Country:US
Mailing Address - Phone:216-334-2876
Mailing Address - Fax:
Practice Address - Street 1:8 N STATE ST STE 455
Practice Address - Street 2:
Practice Address - City:PAINESVILLE
Practice Address - State:OH
Practice Address - Zip Code:44077-3994
Practice Address - Country:US
Practice Address - Phone:440-352-6191
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-07-12
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.2202545-TRNE104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker