Individual ProviderTheresa V SmithSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4633 Aicholtz Rd, Cincinnati, OH 45244-1447(513) 752-1555PECOS EnrollmentBased on the most recent information from CMS, provider Theresa V Smith 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 ID1912475195Provider TypeIndividualFull NameSmith, Theresa VCredentialLSWGenderFemaleSole ProprietorNoEnumeration Date11/6/2018Last Updated8/1/2024Contact InformationPractice LocationPractice Address4633 Aicholtz Rd, Cincinnati, OH 45244-1447Phone(513) 752-1555FaxUnlisted FaxMailing LocationMailing Address4629 Aicholtz Rd Ste 2, Cincinnati, OH 45244-1560Phone(513) 752-1555FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseS.1802873OhioCode171M00000XDescriptionCase Manager/Care CoordinatorOther Service ProvidersLicenseUnlisted IssuerOhio