Individual ProviderMegan M RudySocial WorkerBehavioral Health & Social Service ProvidersPractice Address22001 Fairmount Blvd, Shaker Heights, OH 44118-4819(216) 320-6493PECOS EnrollmentBased on the most recent information from CMS, provider Megan M Rudy 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 ID1073812889Provider TypeIndividualFull NameRudy, Megan MTitleMrs.CredentialMSSA,LSW,CDCAGenderFemaleSole ProprietorYesEnumeration Date3/18/2011Last Updated3/18/2011Contact InformationPractice LocationPractice Address22001 Fairmount Blvd, Shaker Heights, OH 44118-4819Phone(216) 320-6493Fax(216) 320-6446Mailing LocationMailing Address22001 Fairmount Blvd, Shaker Heights, OH 44118-4819Phone(216) 320-6493Fax(216) 320-6446Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseS.1000392OhioCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense100837Ohio