Individual
CERINA NICOLE WOODALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW,LISW
Contact information
Practice address
1460 ROCKEFELLER RD, WICKLIFFE, OH 44092-1932
(216) 406-8937
Mailing address
2034 REVERE RD, CLEVELAND HEIGHTS, OH 44118-2634
(216) 406-8937
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
I.2204139
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0369548
—
OH
Enumeration date
06/28/2018
Last updated
07/07/2023
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