Individual ProviderKeosha L WilliamsSocial WorkerBehavioral Health & Social Service ProvidersPractice Address22001 Fairmount Blvd, Cleveland, OH 44118-4819(216) 932-2800PECOS EnrollmentBased on the most recent information from CMS, provider Keosha L Williams 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 3 days ago.Profile DetailsProvider ID1356889398Provider TypeIndividualFull NameWilliams, Keosha LCredentialLSWGenderFemaleSole ProprietorYesEnumeration Date2/10/2017Last Updated10/17/2023Contact InformationPractice LocationPractice Address22001 Fairmount Blvd, Cleveland, OH 44118-4819Phone(216) 932-2800FaxUnlisted FaxMailing LocationMailing Address22001 Fairmount Blvd, Cleveland, OH 44118-4819PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseS.1701756OhioProvider IdentifiersIDDescriptionIssuerID1205893070DescriptionMedicaidIssuerUnlistedOhio