Individual ProviderNancy Teresa O'MailleSocial WorkerBehavioral Health & Social Service ProvidersPractice Address38052 Euclid Ave, 103, Willoughby, OH 44094-6161(440) 953-1214PECOS EnrollmentBased on the most recent information from CMS, provider Nancy Teresa O'Maille 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 ID1164457651Provider TypeIndividualFull NameO'Maille, Nancy TeresaCredentialLISWGenderFemaleSole ProprietorYesEnumeration Date7/12/2006Last Updated12/30/2010Contact InformationPractice LocationPractice Address38052 Euclid Ave, 103, Willoughby, OH 44094-6161Phone(440) 953-1214Fax(440) 953-1215Mailing LocationMailing Address38052 Euclid Ave Ste 103, Willoughby, OH 44094-6146Phone(440) 953-1214Fax(440) 953-1215Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseI-0007662Ohio