Individual
CANDACE B RISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW
Contact information
Practice address
23230 CHAGRIN BLVD, SUITE 350, BEACHWOOD, OH 44122-5446
(216) 831-2900
(216) 831-4306
Mailing address
23425 COMMERCE PARK, STE 104, BEACHWOOD, OH 44122-5848
(216) 831-2900
(216) 831-4306
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-0001031
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000260213
ANTHEM BC/BS
OH
01
—
038397000
MAGELLAN
OH
Enumeration date
09/16/2006
Last updated
01/30/2017
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