Individual ProviderJohanna (Jody) H Cleveland, Lcsw, PllcSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5350 S Roslyn St Ste 306, Greenwood Village, CO 80111-2124(303) 885-7169PECOS EnrollmentBased on the most recent information from CMS, provider Johanna (Jody) H Cleveland, Lcsw, Pllc 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 yesterday at 10:02 AM.Profile DetailsProvider ID1790922102Provider TypeIndividualFull NameCleveland, Lcsw, Pllc, Johanna (Jody) HTitleMrs.CredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date1/7/2009Last Updated1/7/2009Contact InformationPractice LocationPractice Address5350 S Roslyn St Ste 306, Greenwood Village, CO 80111-2124Phone(303) 885-7169Fax(303) 779-3341Mailing LocationMailing Address5350 S Roslyn St Ste 306, Greenwood Village, CO 80111-2124Phone(303) 885-7169Fax(303) 779-3341Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense1154Colorado