Provider Demographics
NPI:1093220444
Name:LEVERT, ADRIANE J (LSW)
Entity type:Individual
Prefix:
First Name:ADRIANE
Middle Name:J
Last Name:LEVERT
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:349 SKYVIEW RD
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44109-3749
Mailing Address - Country:US
Mailing Address - Phone:216-970-4207
Mailing Address - Fax:
Practice Address - Street 1:23412 COMMERCE PARK
Practice Address - Street 2:
Practice Address - City:BEACHWOOD
Practice Address - State:OH
Practice Address - Zip Code:44122-5813
Practice Address - Country:US
Practice Address - Phone:216-400-6640
Practice Address - Fax:216-250-7016
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-07
Last Update Date:2024-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1700985104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker