Provider Demographics
NPI:1801085600
Name:PIOTROWICZ, BETH ANN (MSSA)
Entity type:Individual
Prefix:MS
First Name:BETH
Middle Name:ANN
Last Name:PIOTROWICZ
Suffix:
Gender:F
Credentials:MSSA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11900 FAIRHILL RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44120-1062
Mailing Address - Country:US
Mailing Address - Phone:216-373-1765
Mailing Address - Fax:216-373-1814
Practice Address - Street 1:11900 FAIRHILL RD
Practice Address - Street 2:SUITE 300
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44120-1062
Practice Address - Country:US
Practice Address - Phone:216-373-1765
Practice Address - Fax:216-373-1814
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-17
Last Update Date:2007-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI 07002961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical