Look up the most recent NPI and PECOS records

Kristen Gruenhagen

Social Worker

Behavioral Health & Social Service Providers

4633 Aicholtz Rd, Cincinnati, OH 45244-1447

PECOS Enrollment

Based on the most recent information from CMS, provider Kristen Gruenhagen 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 2 days ago.

Profile Details

Provider ID
1427680875
Provider Type
Individual
Full Name
Gruenhagen, Kristen
Title
Ms.
Credential
LSW

Gender
Female
Sole Proprietor
No
Enumeration Date
2/4/2020
Last Updated
12/13/2024

Contact Information

Practice Location

4633 Aicholtz Rd, Cincinnati, OH 45244-1447

(513) 752-1555

Unlisted Fax

Mailing Location

4629 Aicholtz Rd Ste 2, Cincinnati, OH 45244-1560

(513) 752-1555

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License S.2106455 Ohio

Provider Identifiers

ID	Description	Issuer
ID S.2106455	Description Other	Issuer COUNSELOR, SOCIAL WORKER & MFT BOARD Ohio
ID 14666037	Description Other	Issuer CAQH Ohio

Kristen Gruenhagen

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Anderson, Alexandria Lynn

Carpenter, Stanley Eric

Whitfield, Shauntel A

Walker, Brieh

Shuller, Anna Kathryn

Hater, Robin

Scheffer, Laiya

Brazier, Sela

Limbach, Catherine Taylor

Duncan, Meredith Cameron