Provider Demographics
NPI:1841207057
Name:SCHWEGLER, WILLIAM JOSEPH (MSSA;LISW)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:JOSEPH
Last Name:SCHWEGLER
Suffix:
Gender:M
Credentials:MSSA;LISW
Other - Prefix:
Other - First Name:WILLIAM
Other - Middle Name:JOSEPH
Other - Last Name:SCHWEGLER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LISW
Mailing Address - Street 1:1059 EASTLAKE DR
Mailing Address - Street 2:
Mailing Address - City:EASTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44095-2331
Mailing Address - Country:US
Mailing Address - Phone:216-287-4494
Mailing Address - Fax:216-834-0014
Practice Address - Street 1:6701 ROCKSIDE RD
Practice Address - Street 2:SUITE 240
Practice Address - City:INDEPENDENCE
Practice Address - State:OH
Practice Address - Zip Code:44131-2358
Practice Address - Country:US
Practice Address - Phone:216-834-0010
Practice Address - Fax:216-834-0014
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-0000323101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHSCSW21473Medicare ID - Type UnspecifiedINDIVIDUAL