Look up the most recent NPI and PECOS records

Eva Havens

Social Worker

Behavioral Health & Social Service Providers

5665 Hoover Rd, Grove City, OH 43123

(614) 875-2371 (740) 485-1673

PECOS Enrollment

Based on the most recent information from CMS, provider Eva Havens 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 today at 11:51 AM.

Profile Details

Provider ID
1124527346
Provider Type
Individual
Full Name
Havens, Eva
Credential
LSW

Gender
Female
Sole Proprietor
No
Enumeration Date
2/2/2018
Last Updated
8/8/2019

Contact Information

Practice Location

5665 Hoover Rd, Grove City, OH 43123

(614) 875-2371

Unlisted Fax

Mailing Location

5124 Locust Post Ln, Columbus, OH 43230-1587

(740) 485-1673

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License S.1802413 Ohio
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License S.1610357-TRNE Ohio

Eva Havens

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Gardner, Katelynn

Bowers, Lynn Denise

Adekanbi, Olubunmi

Brewer, Kelly

Audia, Katelyn

Syrus, Heather Lynn

Mollohan, Leah

Hoyos, Kirsten

Smith-Carter, Cierra

Black, Molly A