Individual ProviderSammantha McclughenSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4633 Aicholtz Road, Cincinnati, OH 45244(513) 752-1555PECOS EnrollmentBased on the most recent information from CMS, provider Sammantha Mcclughen 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 ID1902328933Provider TypeIndividualFull NameMcclughen, SammanthaGenderFemaleSole ProprietorNoEnumeration Date7/12/2017Last Updated3/17/2018Contact InformationPractice LocationPractice Address4633 Aicholtz Road, Cincinnati, OH 45244Phone(513) 752-1555FaxUnlisted FaxMailing LocationMailing Address4629 Aicholtz Road, Cincinnati, OH 45244-1557Phone(513) 752-1555FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseS.1701258Ohio