Provider Demographics
NPI:1992431415
Name:MC DOWELL, TASHA L (LSW)
Entity type:Individual
Prefix:
First Name:TASHA
Middle Name:L
Last Name:MC DOWELL
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:TASHA
Other - Middle Name:L
Other - Last Name:GLOVER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LSW
Mailing Address - Street 1:2800 EUCLID AVE
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44115-2408
Mailing Address - Country:US
Mailing Address - Phone:216-854-9187
Mailing Address - Fax:
Practice Address - Street 1:2800 EUCLID AVE
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44115-2408
Practice Address - Country:US
Practice Address - Phone:216-772-2095
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-27
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS1701788104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker