Individual ProviderKatharine Whitehouse BussertSocial WorkerBehavioral Health & Social Service ProvidersPractice Address22001 Fairmount Blvd, Shaker Heights, OH 44118-4819(216) 320-8222PECOS EnrollmentBased on the most recent information from CMS, provider Katharine Whitehouse Bussert 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 ID1487215547Provider TypeIndividualFull NameBussert, Katharine WhitehouseTitleMs.CredentialMSSA, LSWGenderFemaleSole ProprietorNoEnumeration Date6/27/2019Last Updated6/27/2019Contact InformationPractice LocationPractice Address22001 Fairmount Blvd, Shaker Heights, OH 44118-4819Phone(216) 320-8222Fax(216) 932-6704Mailing LocationMailing Address2265 Riverside Dr, Lakewood, OH 44107-5351PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseS.1903735Ohio