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Jamiee K Imbrogno

Social Worker

Behavioral Health & Social Service Providers

38882 Mentor Ave, Willoughby, OH 44094-7875

PECOS Enrollment

This provider is enrolled in PECOS as JAMIEE IMBROGNO.

Based on the most recent information from CMS, provider Jamiee K Imbrogno is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1013423094
Provider Type
Individual
Full Name
Imbrogno, Jamiee K
Gender
Female

Sole Proprietor
Yes
Enumeration Date
12/28/2017
Last Updated
12/27/2023

Contact Information

Practice Location

38882 Mentor Ave, Willoughby, OH 44094-7875

(404) 953-9999

(440) 954-3738

Mailing Location

38882 Mentor Ave, Willoughby, OH 44094-7875

(404) 953-9999

(440) 954-3738

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License I.2305061 Ohio
Code 171M00000X	Description Case Manager/Care Coordinator Other Service Providers	License Unlisted Issuer

Jamiee K Imbrogno

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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