Stephanie H Mendelson | Shaker Heights, OH • PECOS Search

Stephanie H Mendelson

Social Worker

Behavioral Health & Social Service Providers

22001 Fairmount Boulevard, Shaker Heights, OH 44118

PECOS Enrollment

Based on the most recent information from CMS, provider Stephanie H Mendelson 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
1396011144
Provider Type
Individual
Full Name
Mendelson, Stephanie H
Credential
LISW-S

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/27/2012
Last Updated
2/17/2016

Contact Information

Practice Location

22001 Fairmount Boulevard, Shaker Heights, OH 44118

Unlisted Fax

Mailing Location

22001 Fairmount Boulevard, Shaker Heights, OH 44118

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License I1200395 SUPERVISOR Ohio