West, Jerome Maurice

West, Jerome Maurice is an individual health care provider with primary practice located at 10 Severance Cir , Cleveland Heights OH 44118-1533. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. West, Jerome Maurice can be contacted via phone (216) 778-3031.

Contact Information

Primary practice address
10 Severance Cir Cleveland Heights OH 44118-1533
Phone: (216) 778-3031
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X W.1600042 Ohio
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCDCIII.161595 Ohio

Profile Details

NPI number 1255875522
LBN Legal business name West, Jerome Maurice
Credentials OCPC, LCDC III
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2016
Last updated Feb 28th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255875522 NPPES
Ohio MEDICAID 0275747

Popular Providers