Individual ProviderJamie Walker-SyphSocial WorkerBehavioral Health & Social Service ProvidersPractice Address22001 Fairmount Blvd, Shaker Heights, OH 44118-4819(216) 320-8384PECOS EnrollmentBased on the most recent information from CMS, provider Jamie Walker-Syph 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 ID1447794946Provider TypeIndividualFull NameWalker-Syph, JamieCredentialLISW-SGenderFemaleSole ProprietorYesEnumeration Date12/19/2016Last Updated7/31/2019Contact InformationPractice LocationPractice Address22001 Fairmount Blvd, Shaker Heights, OH 44118-4819Phone(216) 320-8384Fax(216) 320-6488Mailing LocationMailing Address6055 Commanche Ct, Suite F, Parma Heights, OH 44130-9055Phone(216) 320-8384Fax(216) 320-6488Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseI.1502365-SUPVOhioProvider IdentifiersIDDescriptionIssuerID0197475DescriptionMedicaidIssuerUnlistedOhio