Individual ProviderSummer Storm CrouchSocial WorkerBehavioral Health & Social Service ProvidersPractice Address35000 Kaiser Ct, Willoughby, OH 44094-3382(440) 269-4600PECOS EnrollmentBased on the most recent information from CMS, provider Summer Storm Crouch 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 4 days ago.Profile DetailsProvider ID1306677877Provider TypeIndividualFull NameCrouch, Summer StormCredentialLISWGenderFemaleSole ProprietorNoEnumeration Date8/8/2024Last Updated8/8/2024Contact InformationPractice LocationPractice Address35000 Kaiser Ct, Willoughby, OH 44094-3382Phone(440) 269-4600Fax(216) 229-2997Mailing LocationMailing Address35000 Kaiser Ct, Willoughby, OH 44094-3382Phone(440) 269-4600Fax(216) 229-2997Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseI.2304823Ohio