| Doctor Name: | MS. CARLIE CHAPMAN ALI-HASSAN |
| NPI Number: | 1952455149 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S.S.A., L.I.S.W. |
| License Number: | I 0031476 |
| Business Practice Address: | 4255 Northfield Rd Highland Hills, OH - 441282811 |
| Business Phone Number: | 2162929700 |
| Business Fax Number: | 2162929721 |
| Mailing Address: | 3315 Avalon Rd, SHAKER HEIGHTS |
| State: | OH |
| Postal Code: | 441203407 |
| Phone Number: | 2164100242 |
| Fax Number: | |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | I 0031476 |
| 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 |