Look up the most recent NPI and PECOS records

Katelyn Audia

Social Worker

Behavioral Health & Social Service Providers

5665 Hoover Rd, Grove City, OH 43123-9122

PECOS Enrollment

Based on the most recent information from CMS, provider Katelyn Audia 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 34 days ago.

Profile Details

Provider ID
1356825038
Provider Type
Individual
Full Name
Audia, Katelyn
Credential
MSW, LSW

Gender
Female
Sole Proprietor
No
Enumeration Date
9/19/2018
Last Updated
10/27/2019

Contact Information

Practice Location

5665 Hoover Rd, Grove City, OH 43123-9122

(813) 751-4760

Unlisted Fax

Mailing Location

2393 Indiana Ave, Columbus, OH 43202-3109

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 101Y00000X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer

Katelyn Audia

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Sutter, Kristin

Cumberbatch, Rhonda Lynn

Randle, Monet

Syrus, Heather Lynn

Allison- Allgood, Rauchelle

Brown, Michala

Foerster, Elise

D'Angelo-Foster, Lodia Marie

Hoyos, Kirsten

Canter, Regan