Crystal Drennon | Willoughby, OH • PECOS Search

Crystal Drennon

Social Worker

Behavioral Health & Social Service Providers

4050 Erie St Ste 210, Willoughby, OH 44094-8088

PECOS Enrollment

Based on the most recent information from CMS, provider Crystal Drennon does not have current enrollment records in PECOS.

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

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1124755293
Provider Type
Individual
Full Name
Drennon, Crystal
Credential
MSW, LSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/8/2022
Last Updated
11/14/2023

Contact Information

Practice Location

4050 Erie St Ste 210, Willoughby, OH 44094-8088

Unlisted Fax

Mailing Location

4050 Erie St Ste 201, Willoughby, OH 44094-8088

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License S.2208042 Ohio