Shannon I Cusack, LISW-Supervisor
Social Worker, Clinical in Cleveland, OH. Individual provider (NPI-1).
NPI number1154638005
StatusActive
Last updated in NPPESDec 27, 2021
Details
- NPI
- 1154638005
- Entity type
- Individual (NPI-1)
- Name
- Shannon I Cusack
- Credential
- LISW-Supervisor
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 13, 2010
- Last updated
- Dec 27, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | I.0700308-SUPV | OH | Yes |
Practice location
2500 Metrohealth DrCleveland, OH 44109-1900
Phone 216-778-7800
Mailing address
2500 Metrohealth DrCleveland, OH 44109-1900
Phone 216-831-2255 · Fax 216-378-3906
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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