Individual ProviderRaymond Thomas GonzalezSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2490 Lee Blvd Ste 204, Cleveland, OH 44118-1269(216) 321-3611PECOS EnrollmentBased on the most recent information from CMS, provider Raymond Thomas Gonzalez 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 ID1083641567Provider TypeIndividualFull NameGonzalez, Raymond ThomasCredentialL.I.S.W.GenderMaleSole ProprietorNoEnumeration Date6/28/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address2490 Lee Blvd Ste 204, Cleveland, OH 44118-1269Phone(216) 321-3611Fax(216) 321-0021Mailing LocationMailing Address3014 Berkshire Rd, Cleveland Heights, OH 44118-2422Phone(216) 321-3611Fax(216) 321-0021Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseI-0003432Ohio