Individual ProviderRebecca RoarkSocial WorkerBehavioral Health & Social Service ProvidersPractice Address3367 Superior Park Dr, Cleveland Heights, OH 44118-2105(216) 315-0893PECOS EnrollmentBased on the most recent information from CMS, provider Rebecca Roark 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 ID1205597234Provider TypeIndividualFull NameRoark, RebeccaCredentialMSW, LCSWGenderFemaleSole ProprietorYesEnumeration Date1/3/2022Last Updated1/3/2022Contact InformationPractice LocationPractice Address3367 Superior Park Dr, Cleveland Heights, OH 44118-2105Phone(216) 315-0893FaxUnlisted FaxMailing LocationMailing Address3367 Superior Park Dr, Cleveland Heights, OH 44118-2105Phone(216) 315-0893FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseI.0900026OhioCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerOhio