Provider Demographics
NPI:1841710019
Name:SZABO, COURTNEY BELLE (LISW)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:BELLE
Last Name:SZABO
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11937 DUNHAM RD
Mailing Address - Street 2:
Mailing Address - City:SAGAMORE HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44067-1015
Mailing Address - Country:US
Mailing Address - Phone:440-823-1924
Mailing Address - Fax:
Practice Address - Street 1:11937 DUNHAM RD
Practice Address - Street 2:
Practice Address - City:SAGAMORE HILLS
Practice Address - State:OH
Practice Address - Zip Code:44067-1015
Practice Address - Country:US
Practice Address - Phone:440-823-1924
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-20
Last Update Date:2020-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.17007021041C0700X
OHI.19018621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0261928Medicaid