Provider Demographics
NPI:1972020444
Name:JONAHI, HAJIBA (LSW, MSW)
Entity Type:Individual
Prefix:
First Name:HAJIBA
Middle Name:
Last Name:JONAHI
Suffix:
Gender:F
Credentials:LSW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3518 WASHINGTON BLVD UPPR
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-2611
Mailing Address - Country:US
Mailing Address - Phone:216-849-5388
Mailing Address - Fax:
Practice Address - Street 1:3518 WASHINGTON BLVD UPPR
Practice Address - Street 2:
Practice Address - City:CLEVELAND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44118-2611
Practice Address - Country:US
Practice Address - Phone:216-849-5388
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-25
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1700583104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty