| Doctor Name: | MR. DAVID ETHAN ACKERMAN |
| NPI Number: | 1043478936 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LISW-S, MSSA |
| License Number: | I.0800181.SUPV |
| Business Practice Address: | 3601 Green Rd Suite 310 Beachwood, OH - 441225725 |
| Business Phone Number: | 2163467151 |
| Business Fax Number: | |
| Mailing Address: | 3601 Green Rd, Suite 310 BEACHWOOD |
| State: | OH |
| Postal Code: | 441225725 |
| Phone Number: | 2163467151 |
| Fax Number: | |
| NPI Enumeration Date: | 05/28/2008 |
| NPI Last Update Date: | 02/08/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I.0800181.SUPV |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |