Individual ProviderKathleen V RossSocial WorkerBehavioral Health & Social Service ProvidersPractice Address22001 Fairmount Blvd, Shaker Heights, OH 44118-4819(216) 320-8268PECOS EnrollmentBased on the most recent information from CMS, provider Kathleen V Ross 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 ID1205388873Provider TypeIndividualFull NameRoss, Kathleen VTitleMs.CredentialLISW-S, ACSWGenderFemaleSole ProprietorYesEnumeration Date10/31/2016Last Updated10/31/2016Contact InformationPractice LocationPractice Address22001 Fairmount Blvd, Shaker Heights, OH 44118-4819Phone(216) 320-8268Fax(216) 320-8951Mailing LocationMailing Address22001 Fairmount Blvd, Shaker Heights, OH 44118-4819Phone(216) 320-8268Fax(216) 320-8951Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseI0004280Ohio