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MARY BOURDREZ LISW
NPI 1093477986
Social Worker - Clinical in Shaker Heights, OH

Active since October 08, 2021
3086 HUNTINGTON RD, SHAKER HEIGHTS, OH 44120(216) 798-4541 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mary Bourdrez Lisw NPPES

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

MARY BOURDREZ LISW (NPI 1093477986) is an individual clinical provider in Shaker Heights, Ohio, licensed in Ohio (I0600040) and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1093477986
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMARY BOURDREZCredential: LISW
Location Address3086 HUNTINGTON RDShaker Heights, OH 44120-2474
Mailing Address3086 Huntington RdShaker Heights, OH 44120-2474 · (216) 798-4541
Phone(216) 798-4541
Sole ProprietorYes
Enumeration DateOctober 8, 2021
NPPES CertifiedOctober 8, 2021
✔ NPI 1093477986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in OH · I0600040
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
3086 HUNTINGTON RD, Shaker Heights, OH 44120
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Other Identifiers 1

OtherI.06000040OH · Lisw

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 Mary Bourdrez's NPI number?

The NPI number for Mary Bourdrez is 1093477986. It was assigned to this individual provider in the NPPES registry on October 8, 2021.

Where is Mary Bourdrez located?

Mary Bourdrez practices at 3086 Huntington Rd, Shaker Heights, OH 44120. The listed phone number is (216) 798-4541.

What is Mary Bourdrez's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Mary Bourdrez was last updated on October 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.