Individual
MS. JENNIFER M. RUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LISW-S
Contact information
Practice address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
(216) 778-7800
Mailing address
2500 METROHEALTH DR, CLEVELAND, OH 44109-1900
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
I-0500388
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000375669
ANTHEM PIN NUMBER
OH
01
—
822870000
MAGELLAN MIS NUMBER
OH
Enumeration date
06/14/2006
Last updated
12/27/2021
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