Provider Demographics
NPI:1023523883
Name:LAZAR, CATHERINE LEE (LISW)
Entity type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:LEE
Last Name:LAZAR
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:LEE
Other - Last Name:WEAVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4200 BRAINARD RD
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44022-1406
Mailing Address - Country:US
Mailing Address - Phone:440-289-3995
Mailing Address - Fax:
Practice Address - Street 1:20525 CENTER RIDGE RD STE 303
Practice Address - Street 2:
Practice Address - City:ROCKY RIVER
Practice Address - State:OH
Practice Address - Zip Code:44116-3424
Practice Address - Country:US
Practice Address - Phone:440-289-3995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-02
Last Update Date:2020-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical