Individual
AMY MARIE DILLON CODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LISW
Contact information
Practice address
24481 DETROIT RD STE 201, WESTLAKE, OH 44145-1557
(440) 381-8240
(440) 625-2592
Mailing address
1242 WEBB RD, LAKEWOOD, OH 44107-2230
(216) 409-7657
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
S1000751
OH
1041C0700X
Clinical Social Worker
Primary
I.2002300
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0290822
—
OH
Enumeration date
04/30/2010
Last updated
08/20/2020
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