Provider Demographics
NPI:1780693549
Name:BIRGER-HERSHFIELD, ROSLYN (LISW, MSW)
Entity type:Individual
Prefix:
First Name:ROSLYN
Middle Name:
Last Name:BIRGER-HERSHFIELD
Suffix:
Gender:F
Credentials:LISW, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3250 W MARKET ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3336
Mailing Address - Country:US
Mailing Address - Phone:330-864-5100
Mailing Address - Fax:330-864-8230
Practice Address - Street 1:3250 W MARKET ST
Practice Address - Street 2:SUITE 210
Practice Address - City:FAIRLAWN
Practice Address - State:OH
Practice Address - Zip Code:44333-3336
Practice Address - Country:US
Practice Address - Phone:330-864-5100
Practice Address - Fax:330-864-8230
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI-00036641041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHBISW04154Medicare ID - Type Unspecified