Laura Wagner | Cleveland Hts, OH • PECOS Search

Laura Wagner

Social Worker

Behavioral Health & Social Service Providers

3084 Essex Rd, Cleveland Hts, OH 44118-3558

PECOS Enrollment

Based on the most recent information from CMS, provider Laura Wagner 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
1336802487
Provider Type
Individual
Full Name
Wagner, Laura
Gender
Female

Sole Proprietor
No
Enumeration Date
10/15/2021
Last Updated
10/17/2021

Contact Information

Practice Location

3084 Essex Rd, Cleveland Hts, OH 44118-3558

Unlisted Fax

Mailing Location

3084 Essex Rd, Cleveland Hts, OH 44118-3558

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License I.1600233 Ohio