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

Individual provider Clinical Social Worker · NPI 1396866851

Mary D Deperro, LISW is a Clinical Social Worker in Ravenna, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2007
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

3957 Loomis Pkwy Ste 101
Ravenna, OH 44266-1804
Phone: (330) 697-7403
Fax: (330) 645-6935
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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 0004920 (OH)

Record details

NPI number1396866851
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorYes
NPI enumeratedApril 3, 2007
Last updated in NPPESApril 8, 2009
Mailing addressPo Box 45519, Westlake, OH 44145-0519

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