Individual ProviderAndrea Nicole SammonsSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4633 Aicholtz Rd, Cincinnati, OH 45244-1447(513) 752-1555PECOS EnrollmentBased on the most recent information from CMS, provider Andrea Nicole Sammons 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 ID1750148805Provider TypeIndividualFull NameSammons, Andrea NicoleCredentialMSW LSWGenderFemaleSole ProprietorNoEnumeration Date3/5/2024Last Updated3/5/2024Contact InformationPractice LocationPractice Address4633 Aicholtz Rd, Cincinnati, OH 45244-1447Phone(513) 752-1555FaxUnlisted FaxMailing LocationMailing Address4628 Aicholtz Rd, Cincinnati, OH 45244-1446PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseS.2308768Ohio