Look up the most recent NPI and PECOS records

Susan Elizabeth Williams

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 Susan Elizabeth Williams 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
1235645953
Provider Type
Individual
Full Name
Williams, Susan Elizabeth
Title
Ms.
Credential
LSW

Gender
Female
Sole Proprietor
No
Enumeration Date
12/18/2017
Last Updated
3/19/2019

Contact Information

Practice Location

22001 Fairmount Blvd, Shaker Heights, OH 44118-4819

(216) 932-2800

Unlisted Fax

Mailing Location

22001 Fairmount Blvd, Shaker Heights, OH 44118-4819

(216) 932-2800

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License S.1440513 Ohio

Provider Identifiers

ID	Description	Issuer
ID 0279741	Description Medicaid	Issuer Unlisted Ohio

Susan Elizabeth Williams

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Hearthside Counseling Llc

Jarrett, Gaeh G

Neimanis, Rebecca

Lawrence, Mary K

Thompson, Karla R

Mcmillion, Lindsey Batcheller

Carey, Faith Anastasia

Witkowski, Margaret

Mendelson, Stephanie H

Ross, Kathleen V