Individual ProviderTheresa Marie GavalyaSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2022 Lee Rd, Cleveland Heights, OH 44118-2536(216) 932-8471PECOS EnrollmentBased on the most recent information from CMS, provider Theresa Marie Gavalya does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1063659670Provider TypeIndividualFull NameGavalya, Theresa MarieTitleMs.CredentialLISW-SGenderFemaleSole ProprietorNoEnumeration Date1/20/2009Last Updated1/20/2009Contact InformationPractice LocationPractice Address2022 Lee Rd, Cleveland Heights, OH 44118-2536Phone(216) 932-8471Fax(216) 932-1781Mailing LocationMailing Address2022 Lee Rd, Cleveland Heights, OH 44118-2536Phone(216) 932-8471Fax(216) 932-1781Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense0010192 -SUPVOhio