Individual ProviderKatelyn AudiaSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5665 Hoover Rd, Grove City, OH 43123-9122(813) 751-4760PECOS EnrollmentBased on the most recent information from CMS, provider Katelyn Audia is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1356825038Provider TypeIndividualFull NameAudia, KatelynCredentialMSW, LSWGenderFemaleSole ProprietorNoEnumeration Date9/19/2018Last Updated10/27/2019Contact InformationPractice LocationPractice Address5665 Hoover Rd, Grove City, OH 43123-9122Phone(813) 751-4760FaxUnlisted FaxMailing LocationMailing Address2393 Indiana Ave, Columbus, OH 43202-3109PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer