Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mary Bourdrez, LISW

Individual provider Clinical Social Worker · NPI 1093477986

Mary Bourdrez, LISW is a Clinical Social Worker in Shaker Heights, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2021
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

3086 Huntington Rd
Shaker Heights, OH 44120-2474
Phone: (216) 798-4541
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I0600040 (OH)

Record details

NPI number1093477986
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorYes
NPI enumeratedOctober 8, 2021
Last updated in NPPESOctober 8, 2021
Certification dateOctober 8, 2021
Mailing address3086 Huntington Rd, Shaker Heights, OH 44120-2474

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