Individual ProviderKaren MchenrySocial WorkerBehavioral Health & Social Service ProvidersPractice Address22001 Fairmount Blvd, Shaker Heights, OH 44118-4819(216) 320-8422PECOS EnrollmentBased on the most recent information from CMS, provider Karen Mchenry is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1437698982Provider TypeIndividualFull NameMchenry, KarenTitleMs.CredentialLISW-S, LCDCGenderFemaleSole ProprietorYesEnumeration Date2/16/2017Last Updated2/16/2017Contact InformationPractice LocationPractice Address22001 Fairmount Blvd, Shaker Heights, OH 44118-4819Phone(216) 320-8422FaxUnlisted FaxMailing LocationMailing Address22001 Fairmount Blvd, Shaker Heights, OH 44118Phone(216) 320-8422FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseIOO7978OhioCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense976177Ohio