Clover English Iii | Cleveland Hts, OH • PECOS Search

Clover English Iii

Social Worker

Behavioral Health & Social Service Providers

2490 Lee Blvd, Suite 102, Cleveland Hts, OH 44118-1268

PECOS Enrollment

Based on the most recent information from CMS, provider Clover English Iii 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
1932324787
Provider Type
Individual
Full Name
English Iii, Clover
Title
Mr.
Credential
LISW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/16/2007
Last Updated
12/4/2012

Contact Information

Practice Location

2490 Lee Blvd, Suite 102, Cleveland Hts, OH 44118-1268

Unlisted Fax

Mailing Location

2490 Lee Blvd, Suite 320, Cleveland Hts, OH 44118-1268

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License I10021 Ohio