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LARRY FENDERSON
NPI 1073005054
Case Manager/Care Coordinator in Cleveland, OH

Active since June 05, 2018
8411 BROADWAY AVE, CLEVELAND, OH 44105(216) 441-0200(216) 441-3637 Get Directions Write a Review

NPPES record last updated: June 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Larry Fenderson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LARRY FENDERSON (NPI 1073005054) is an individual case manager/care coordinator provider in Cleveland, Ohio and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1073005054
Entity TypeIndividualMale
Primary Taxonomy171M00000X
Provider Legal NameLARRY FENDERSON
Location Address8411 BROADWAY AVECleveland, OH 44105-3932
Mailing Address8411 Broadway AveCleveland, OH 44105-3932 · (216) 441-0200 · Fax (216) 441-3637
Phone(216) 441-0200
Fax(216) 441-3637
Sole ProprietorYes
Enumeration DateJune 5, 2018
✔ NPI 1073005054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
8411 BROADWAY AVE, Cleveland, OH 44105
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALBERT GREEN
Case Manager/Care Coordinator
8411 BROADWAY AVE
CLEVELAND, OH 44105
Cuyahoga County (216) 441-0200
MISS RAESHON L CALDWELL
Case Manager/Care Coordinator
8411 BROADWAY AVE
CLEVELAND, OH 44105
Cuyahoga County (216) 441-0200
LAKIA SIRESE BUCKLEY
Case Manager/Care Coordinator
8411 BROADWAY AVE
CLEVELAND, OH 44105
Cuyahoga County (216) 441-0200
LOGAAN HARRIS
Counselor (Addiction (Substance Use Disorder))
8411 BROADWAY AVE
CLEVELAND, OH 44105
Cuyahoga County (121) 664-1231
KELLY MARIE MCDANIEL
Case Manager/Care Coordinator
8411 BROADWAY AVE
CLEVELAND, OH 44105
Cuyahoga County (216) 441-0200
KENT OBRIAN STRAIN
Behavior Technician
8411 BROADWAY AVE
CLEVELAND, OH 44105
Cuyahoga County (216) 441-0200
JANE M MILLER LSW
Counselor (Addiction (Substance Use Disorder))
8411 BROADWAY AVE
CLEVELAND, OH 44105
Cuyahoga County (216) 441-0200
DONNA HOWARD
Case Manager/Care Coordinator
8411 BROADWAY AVE
CLEVELAND, OH 44105
Cuyahoga County (216) 441-0220

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Larry Fenderson's NPI number?

The NPI number for Larry Fenderson is 1073005054. It was assigned to this individual provider in the NPPES registry on June 5, 2018.

Where is Larry Fenderson located?

Larry Fenderson practices at 8411 Broadway Ave, Cleveland, OH 44105. The listed phone number is (216) 441-0200.

What is Larry Fenderson's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Larry Fenderson was last updated on June 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.