| Bklauer Llc | |
|
8456 Washington St Chagrin Falls OH 44023-4512 | |
| (440) 306-6115 | |
| (440) 708-2981 |
| Full Name | Bklauer Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8456 Washington St, Chagrin Falls, Ohio |
| Authorized Official Name and Position | Belinda Lauer (OWNER) |
| Authorized Official Contact | 4403066115 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bklauer Llc 8456 East Washington St Chagrin Falls OH 44023-4512 Ph: (440) 306-6115 | Bklauer Llc 8456 Washington St Chagrin Falls OH 44023-4512 Ph: (440) 306-6115 |
| NPI Number | 1174150064 |
|---|---|
| Provider Enumeration Date | 03/23/2020 |
| Last Update Date | 07/07/2022 |
| Certification Date | 07/07/2022 |
| Medicare PECOS PAC ID | 4587093638 |
|---|---|
| Medicare Enrollment ID | O20200410001939 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174150064 | NPI | - | NPPES |
| 0401029 | Medicaid | OH | |
| I.2002001 | Other | OH | LISW LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Belinda Kathleen Lauer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003310780 PECOS PAC ID: 5496184541 Enrollment ID: I20200410001968 |
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