LENA CLARICE MCGRAW CDCA NPI 1639633878

NPI Information

NPI: 1639633878
Provider Name: LENA CLARICE MCGRAW, CDCA
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
3364 W 91ST ST
CLEVELAND, OH
ZIP 44102
Phone: (216) 630-1608
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Lena Clarice Mcgraw, CDCA is a peer specialist in Cleveland, OH. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Lena Clarice Mcgraw, CDCA NPI is 1639633878. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3364 W 91ST ST
CLEVELAND, OH
ZIP 44102-834
Phone: (216) 630-1608

The enumeration date for this NPI number is 1/22/2019 and was last updated on 5/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	165991	OHIO	No
2	175T00000X	Peer Specialist		000673	OHIO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	000673	OTHER	OHIO	OHIO CERTIFIED PEER RECOVERY SUPPORTER
2	165991	OTHER	OHIO	OCDP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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