Provider Demographics
NPI:1922464262
Name:SWITZER RAKOS, KENNEE (MSW/, LISW)
Entity Type:Individual
Prefix:
First Name:KENNEE
Middle Name:
Last Name:SWITZER RAKOS
Suffix:
Gender:F
Credentials:MSW/, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23651 HAZELMERE RD
Mailing Address - Street 2:
Mailing Address - City:SHAKER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-3128
Mailing Address - Country:US
Mailing Address - Phone:216-407-3913
Mailing Address - Fax:
Practice Address - Street 1:1545 W 25TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44113-3158
Practice Address - Country:US
Practice Address - Phone:216-781-2250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-31
Last Update Date:2015-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI 15024101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical