| Doctor Name: | JENNIFER SAPORITO |
| NPI Number: | 1861846966 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LISW-S |
| License Number: | I.0002569-SUPV |
| Business Practice Address: | 7185 Liberty Centre Dr Suite D Liberty Township, OH - 450696586 |
| Business Phone Number: | 5135049310 |
| Business Fax Number: | 5138476365 |
| Mailing Address: | 25101 Chagrin Blvd, Suite 100 BEACHWOOD |
| State: | OH |
| Postal Code: | 441225643 |
| Phone Number: | 2168316611 |
| Fax Number: | 2164568128 |
| NPI Enumeration Date: | 04/15/2016 |
| NPI Last Update Date: | 04/15/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I.0002569-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 |