Sophia F Lovdahl | Cleveland, OH • PECOS Search

Sophia F Lovdahl

Social Worker

Behavioral Health & Social Service Providers

22001 Fairmount Blvd, Cleveland, OH 44118

(216) 932-2800 (216) 367-9219

PECOS Enrollment

Based on the most recent information from CMS, provider Sophia F Lovdahl 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
1952891129
Provider Type
Individual
Full Name
Lovdahl, Sophia F
Title
Mrs.
Credential
MSW

Gender
Female
Sole Proprietor
No
Enumeration Date
5/14/2018
Last Updated
6/1/2018

Contact Information

Practice Location

22001 Fairmount Blvd, Cleveland, OH 44118

Unlisted Fax

Mailing Location

22001 Fairmount Blvd, Shaker Heights, OH 44118-4819

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License S1802412 Ohio