Tania Stern Gordon | Shaker Heights, OH • PECOS Search

Tania Stern Gordon

Social Worker

Behavioral Health & Social Service Providers

22001 Fairmount Blvd, Shaker Heights, OH 44118-4819

PECOS Enrollment

Based on the most recent information from CMS, provider Tania Stern Gordon 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 3 days ago.

Profile Details

Provider ID
1225520406
Provider Type
Individual
Full Name
Gordon, Tania Stern
Credential
MSW, LISW-S

Gender
Female
Sole Proprietor
Yes
Enumeration Date
6/4/2018
Last Updated
11/30/2020

Contact Information

Practice Location

22001 Fairmount Blvd, Shaker Heights, OH 44118-4819

Unlisted Fax

Mailing Location

22001 Fairmount Blvd, Shaker Heights, OH 44118-4819

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License I.1801045-S Ohio