Individual ProviderMadeline KeckSocial WorkerBehavioral Health & Social Service ProvidersPractice Address35104 Euclid Ave Ste 300, Willoughby, OH 44094-4566(440) 497-1977(440) 346-1820PECOS EnrollmentBased on the most recent information from CMS, provider Madeline Keck 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 ID1396476842Provider TypeIndividualFull NameKeck, MadelineCredentialLSWGenderFemaleSole ProprietorNoEnumeration Date6/23/2022Last Updated6/23/2022Contact InformationPractice LocationPractice Address35104 Euclid Ave Ste 300, Willoughby, OH 44094-4566Phone(440) 497-1977FaxUnlisted FaxMailing LocationMailing Address660 E 305th St, Willowick, OH 44095-4862Phone(440) 346-1820FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer