NPI 1023129350

Tracey Roman McKiernan, LISWS

Practitioner Clinical Social Worker Pepper Pike, OH

Practice location

Address: 3737 Lander Rd, Pepper Pike, OH 44124-5712
Phone: (216) 831-2255
Fax: (216) 831-0638
Mailing address: 3737 Lander Rd., Pepper Pike, OH 44124-1105

Registered specialties (2)

Clinical Social Worker Primary

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 0700065 (OH)

Other Social Worker providers in Ohio →

Clinical Social Worker

Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence 6801078204 (MI)

Registry record

NPI: 1023129350
Entity type: Individual
Sex (as registered): Female
NPI issued: 31 Aug 2006
Record last updated: 23 Feb 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.