Individual ProviderAnne Bonnette SmithSocial WorkerBehavioral Health & Social Service ProvidersPractice Address22001 Fairmount Blvd, Cleveland, OH 44118-4819(216) 320-8639(330) 412-4655PECOS EnrollmentBased on the most recent information from CMS, provider Anne Bonnette Smith 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 ID1417325036Provider TypeIndividualFull NameSmith, Anne BonnetteGenderFemaleSole ProprietorNoEnumeration Date9/14/2015Last Updated6/14/2016Contact InformationPractice LocationPractice Address22001 Fairmount Blvd, Cleveland, OH 44118-4819Phone(216) 320-8639FaxUnlisted FaxMailing LocationMailing Address2384 Euclid Heights Blvd, Apt 401, Cleveland Heights, OH 44106-2758Phone(330) 412-4655FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseS 1600310OhioCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseS.1400112-TRNEOhioCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseS 1600310Ohio