Provider Demographics
NPI:1962248443
Name:LEBOVITS, SHOSHANAH CHAYA (LSW)
Entity type:Individual
Prefix:MRS
First Name:SHOSHANAH
Middle Name:CHAYA
Last Name:LEBOVITS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MISS
Other - First Name:SHOSHANAH
Other - Middle Name:CHAYA
Other - Last Name:POST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:4298 SILSBY RD
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44118-3962
Mailing Address - Country:US
Mailing Address - Phone:216-978-5069
Mailing Address - Fax:
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0002
Practice Address - Country:US
Practice Address - Phone:216-363-2122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.24105981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical