Provider Demographics
NPI:1962711820
Name:SANTORE, CORINNE (LISW-S, LICDC)
Entity type:Individual
Prefix:MS
First Name:CORINNE
Middle Name:
Last Name:SANTORE
Suffix:
Gender:F
Credentials:LISW-S, LICDC
Other - Prefix:
Other - First Name:CORINNE
Other - Middle Name:
Other - Last Name:RAISCHEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:11579 CHILLICOTHE RD
Mailing Address - Street 2:
Mailing Address - City:CHESTERLAND
Mailing Address - State:OH
Mailing Address - Zip Code:44026-1409
Mailing Address - Country:US
Mailing Address - Phone:440-533-1009
Mailing Address - Fax:440-533-1009
Practice Address - Street 1:11579 CHILLICOTHE RD
Practice Address - Street 2:
Practice Address - City:CHESTERLAND
Practice Address - State:OH
Practice Address - Zip Code:44026
Practice Address - Country:US
Practice Address - Phone:440-533-1009
Practice Address - Fax:440-533-1009
Is Sole Proprietor?:No
Enumeration Date:2010-09-27
Last Update Date:2018-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.0800269-SUPV1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical