Provider Demographics
NPI:1780042671
Name:RIZNYK, CATHERINE (LISW-S)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:RIZNYK
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 1:14820 DETROIT AVE STE 216
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44107-3938
Mailing Address - Country:US
Mailing Address - Phone:216-470-6114
Mailing Address - Fax:
Practice Address - Street 1:14820 DETROIT AVE STE 216
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:OH
Practice Address - Zip Code:44107-3938
Practice Address - Country:US
Practice Address - Phone:216-470-6114
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-05
Last Update Date:2016-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI11015181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical