Look up the most recent NPI and PECOS records

Gregory Vazquez-Norman

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 Gregory Vazquez-Norman 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
1649662214
Provider Type
Individual
Full Name
Vazquez-Norman, Gregory
Credential
LISW-S

Gender
Male
Sole Proprietor
No
Enumeration Date
2/19/2015
Last Updated
6/13/2018

Contact Information

Practice Location

22001 Fairmount Blvd, Shaker Heights, OH 44118

(216) 320-6699

Unlisted Fax

Mailing Location

195 N Grant Ave, Suite 205, Columbus, OH 43215-2855

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License I.1451118-SUPV Ohio

Provider Identifiers

ID	Description	Issuer
ID 0197473	Description Medicaid	Issuer Unlisted Ohio

Gregory Vazquez-Norman

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

Yarham, Jennifer L

Iisee, Llc

Lindsey, Kenoctaya Moneek

Williams, Susan Elizabeth

Smith, Anne Bonnette

Grodko, Jordan

O'Malley Scarpitti, Danielle

Karl, Kimberly S

Henfield, Paul Edward

Masnick, Judy A