Individual ProviderKimberly CowlesSocial WorkerBehavioral Health & Social Service ProvidersPractice Address36000 Euclid Ave, Willoughby, OH 44094-4625(440) 953-9600PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly Cowles is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1194310284Provider TypeIndividualFull NameCowles, KimberlyCredentialLISWGenderFemaleSole ProprietorNoEnumeration Date3/2/2021Last Updated8/29/2024Contact InformationPractice LocationPractice Address36000 Euclid Ave, Willoughby, OH 44094-4625Phone(440) 953-9600FaxUnlisted FaxMailing LocationMailing Address36000 Euclid Ave, Willoughby, OH 44094-4625Phone(440) 953-9600FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseI.2405599OhioProvider IdentifiersIDDescriptionIssuerID0049087DescriptionMedicaidIssuerUnlistedOhio