Individual ProviderNicole LeporeSocial WorkerBehavioral Health & Social Service ProvidersPractice Address36000 Euclid Ave, Willoughby, OH 44094-4625(440) 602-6668(515) 306-0393PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Lepore 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 4 days ago.Profile DetailsProvider ID1568070548Provider TypeIndividualFull NameLepore, NicoleCredentialLSWGenderFemaleSole ProprietorYesEnumeration Date7/16/2020Last Updated7/16/2020Contact InformationPractice LocationPractice Address36000 Euclid Ave, Willoughby, OH 44094-4625Phone(440) 602-6668FaxUnlisted FaxMailing LocationMailing Address21762 Seabury Ave, Fairview Park, OH 44126-2665Phone(515) 306-0393FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer