Individual ProviderKevin BleisteinSocial WorkerBehavioral Health & Social Service ProvidersPractice Address3109 Mayfield Rd Ste 204, Cleveland Heights, OH 44118-1726(216) 245-7470(570) 428-2785PECOS EnrollmentBased on the most recent information from CMS, provider Kevin Bleistein 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 yesterday at 2:35 PM.Profile DetailsProvider ID1275078438Provider TypeIndividualFull NameBleistein, KevinCredentialLISWGenderMaleSole ProprietorYesEnumeration Date12/27/2016Last Updated7/14/2021Contact InformationPractice LocationPractice Address3109 Mayfield Rd Ste 204, Cleveland Heights, OH 44118-1726Phone(216) 245-7470FaxUnlisted FaxMailing LocationMailing Address3343 Bradford Rd, Cleveland Heights, OH 44118-4229Phone(570) 428-2785FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseI.1600333-SUPVOhio