Provider Demographics
NPI:1861846966
Name:SAPORITO, JENNIFER (LISW-S)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:
Last Name:SAPORITO
Suffix:
Gender:F
Credentials:LISW-S
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:DRAGIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25101 CHAGRIN BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-5643
Mailing Address - Country:US
Mailing Address - Phone:216-831-6611
Mailing Address - Fax:216-456-8128
Practice Address - Street 1:7185 LIBERTY CENTRE DR
Practice Address - Street 2:SUITE D
Practice Address - City:LIBERTY TOWNSHIP
Practice Address - State:OH
Practice Address - Zip Code:45069-6586
Practice Address - Country:US
Practice Address - Phone:513-504-9310
Practice Address - Fax:513-847-6365
Is Sole Proprietor?:No
Enumeration Date:2016-04-15
Last Update Date:2016-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.0002569-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical