Look up the most recent NPI and PECOS records

Renee Taylor

Social Worker

Behavioral Health & Social Service Providers

4021 Bushnell Rd, University Heights, OH 44118-3305

PECOS Enrollment

Based on the most recent information from CMS, provider Renee Taylor is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1255198800
Provider Type
Individual
Full Name
Taylor, Renee
Credential
LISW

Gender
Female
Sole Proprietor
No
Enumeration Date
2/29/2024
Last Updated
1/27/2025

Contact Information

Practice Location

4021 Bushnell Rd, University Heights, OH 44118-3305

(216) 773-0538

Unlisted Fax

Mailing Location

4021 Bushnell Rd, University Heights, OH 44118-3305

(216) 773-0538

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License I.2405971 Ohio
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer

Renee Taylor

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Wagner, Laura

Jarrett, Gaeh G

Sadowsky, Jill

Anderson, Karen J.

St Angelo, Belinda Frances

Durst, Kendall

Mendelson, Stephanie H

Chaney, Mickie

Armin, Michael J

Kardamis, Debbie