Provider Demographics
NPI:1912226879
Name:JAMES, CONSTANCE LAWRENCE (LISW, CP)
Entity Type:Individual
Prefix:MS
First Name:CONSTANCE
Middle Name:LAWRENCE
Last Name:JAMES
Suffix:
Gender:F
Credentials:LISW, CP
Other - Prefix:MS
Other - First Name:CONNIE
Other - Middle Name:LOUISE
Other - Last Name:LAWRENCE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:10515 LONGVIEW TRL
Mailing Address - Street 2:
Mailing Address - City:CHAGRIN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:44023-6164
Mailing Address - Country:US
Mailing Address - Phone:216-233-1600
Mailing Address - Fax:
Practice Address - Street 1:1228 EUCLID AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44115-1834
Practice Address - Country:US
Practice Address - Phone:216-658-1638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-18
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI 15011041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical