Individual ProviderKelsey StegemollerSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4633 Aicholtz Rd, Cincinnati, OH 45244-1447(513) 752-1555PECOS EnrollmentBased on the most recent information from CMS, provider Kelsey Stegemoller 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 2 days ago.Profile DetailsProvider ID1558013656Provider TypeIndividualFull NameStegemoller, KelseyGenderFemaleSole ProprietorYesEnumeration Date1/20/2022Last Updated9/24/2024Contact InformationPractice LocationPractice Address4633 Aicholtz Rd, Cincinnati, OH 45244-1447Phone(513) 752-1555FaxUnlisted FaxMailing LocationMailing Address4629 Aicholtz Rd Ste 2, Cincinnati, OH 45244-1560Phone(513) 752-1555Fax(513) 354-7115Provider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseS.2208461OhioProvider IdentifiersIDDescriptionIssuerID0000DescriptionOtherIssuerLICENSURE BOARDOhio