Individual
MR. DANIEL CICCARELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LSW
Contact information
Practice address
3500 CARNEGIE AVE, CLEVELAND, OH 44115-2641
(216) 318-7872
Mailing address
3500 CARNEGIE AVE, CLEVELAND, OH 44115-2641
(216) 318-7872
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
S.1802501
OH
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0346310
—
OH
Enumeration date
11/21/2017
Last updated
06/07/2019
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