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

Mrs. Dori J Supan, LISW

Individual provider Psychiatry Physician · NPI 1063526846

Mrs. Dori J Supan, LISW is a Clinical Social Worker in Beachwood, Ohio. Qualified in 1975, 51 years ago. Practices with Comprehensive Psychiatric Services, Inc, a 6-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
51
Licensed in
OH
In the registry since
2006
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

24400 Highpoint Rd Ste 6
Beachwood, OH 44122
Phone: (216) 831-6550
Fax: (216) 831-6133
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence I002766 (OH)

Record details

NPI number1063526846
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW
Sole proprietorNo
NPI enumeratedAugust 18, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1975 (51 years in practice)
Group practice Comprehensive Psychiatric Services, Inc. — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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