Airielle Banaszak, LISW-S
Social Worker, Clinical in Fairview Park, OH. Individual provider (NPI-1).
NPI number1780128959
StatusActive
Last updated in NPPESMar 7, 2024
Details
- NPI
- 1780128959
- Entity type
- Individual (NPI-1)
- Name
- Airielle Banaszak
- Credential
- LISW-S
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 7, 2016
- Certification date
- Mar 7, 2024
- Last updated
- Mar 7, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | I.1000019.supv | OH | Yes |
Practice location
21245 Lorain Rd Ste 201Fairview Park, OH 44126-2140
Phone 216-337-3189
Mailing address
21245 Lorain Rd Ste 201Fairview Park, OH 44126-2140
Phone 216-337-3189
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All 19 Clinical Social Worker providers in Fairview Park · All 357 providers in Fairview Park
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