Individual ProviderKelly BrewerSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5665 Hoover Rd, Grove City, OH 43123-9122(614) 539-6485PECOS EnrollmentBased on the most recent information from CMS, provider Kelly Brewer 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 today at 11:51 AM.Profile DetailsProvider ID1255859062Provider TypeIndividualFull NameBrewer, KellyGenderFemaleSole ProprietorYesEnumeration Date8/31/2017Last Updated7/21/2022Contact InformationPractice LocationPractice Address5665 Hoover Rd, Grove City, OH 43123-9122Phone(614) 539-6485FaxUnlisted FaxMailing LocationMailing Address5665 Hoover Rd, Grove City, OH 43123-9122Phone(614) 539-6485FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseS.0023877OhioProvider IdentifiersIDDescriptionIssuerIDS.0023877DescriptionOtherIssuerLICENSED SOCIAL WORKEROhio