Mandy Devra Kwait | Shaker Heights, OH • PECOS Search

Mandy Devra Kwait

Social Worker

Behavioral Health & Social Service Providers

22001 Fairmount Blvd, Shaker Heights, OH 44118-4819

PECOS Enrollment

Based on the most recent information from CMS, provider Mandy Devra Kwait 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 3 days ago.

Profile Details

Provider ID
1548569957
Provider Type
Individual
Full Name
Kwait, Mandy Devra
Title
Ms.
Credential
LISW-S

Gender
Female
Sole Proprietor
No
Enumeration Date
3/24/2011
Last Updated
8/16/2016

Contact Information

Practice Location

22001 Fairmount Blvd, Shaker Heights, OH 44118-4819

(216) 320-8742

Mailing Location

22001 Fairmount Blvd, Shaker Heights, OH 44118-4819

(216) 320-8742

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License I. 1303150SUPERVISOR Ohio