Look up the most recent NPI and PECOS records

Kelly Brewer

Social Worker

Behavioral Health & Social Service Providers

5665 Hoover Rd, Grove City, OH 43123-9122

PECOS Enrollment

Based on the most recent information from CMS, provider Kelly Brewer 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
1255859062
Provider Type
Individual
Full Name
Brewer, Kelly
Gender
Female

Sole Proprietor
Yes
Enumeration Date
8/31/2017
Last Updated
7/21/2022

Contact Information

Practice Location

5665 Hoover Rd, Grove City, OH 43123-9122

(614) 539-6485

Unlisted Fax

Mailing Location

5665 Hoover Rd, Grove City, OH 43123-9122

(614) 539-6485

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License S.0023877 Ohio

Provider Identifiers

ID	Description	Issuer
ID S.0023877	Description Other	Issuer LICENSED SOCIAL WORKER Ohio

Kelly Brewer

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Equine Partners Unlimited, Inc.

Allison- Allgood, Rauchelle

Hunt, Briana

Sheets, Kassandra

Lamb, Sandra Marie

Tomsic, Mark Anthony

Pickering, Paige Nicole

Syrus, Heather Lynn

Black, Molly A

Foerster, Elise