Look up the most recent NPI and PECOS records

Kimberly S Karl

Social Worker

Behavioral Health & Social Service Providers

22001 Fairmount Blvd, Shaker Heights, OH 44118

PECOS Enrollment

Based on the most recent information from CMS, provider Kimberly S Karl 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
1558666404
Provider Type
Individual
Full Name
Karl, Kimberly S
Credential
LISW-S

Gender
Female
Sole Proprietor
No
Enumeration Date
1/24/2011
Last Updated
6/11/2018

Contact Information

Practice Location

22001 Fairmount Blvd, Shaker Heights, OH 44118

(216) 932-2800

Unlisted Fax

Mailing Location

22001 Fairmount Blvd, Shaker Heights, OH 44118-4819

(216) 932-2800

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License I.0007927-SUPV Ohio

Provider Identifiers

ID	Description	Issuer
ID 0197176	Description Medicaid	Issuer Unlisted Ohio

Kimberly S Karl

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Grodko, Jordan

Elek, James Ward

Witkowski, Margaret

Gainer, Stephanie

Engler, Graesyn Layne Schwind

Sommer, Rosalynne Chava

Bleistein, Kevin

Smith, Anne Bonnette

Jarrett, Gaeh G

Masnick, Judy A