Provider Demographics
NPI:1811481112
Name:SIZEMORE, CLAIRE RICHARD
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:RICHARD
Last Name:SIZEMORE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:
Other - Last Name:RICHARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:310 CEDAR AVE
Mailing Address - Street 2:
Mailing Address - City:STEUBENVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43952-2523
Mailing Address - Country:US
Mailing Address - Phone:740-278-3188
Mailing Address - Fax:
Practice Address - Street 1:100 N 4TH ST STE 606
Practice Address - Street 2:
Practice Address - City:STEUBENVILLE
Practice Address - State:OH
Practice Address - Zip Code:43952-2174
Practice Address - Country:US
Practice Address - Phone:740-278-3188
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-20
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHC.1902069101YM0800X
OHC.1801064-TRNE251S00000X
OHE.2102480101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHE.2102480OtherCOUNSELOR, SOCIAL WORKER & MFT BOARD
OHC.1902069OtherCOUNSELOR, SOCIAL WORKER & MFT BOARD