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

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