Brandi Nicole Bare | Grove City, OH • PECOS Search

Brandi Nicole Bare

Social Worker

Behavioral Health & Social Service Providers

5665 Hoover Rd, Grove City, OH 43123

(614) 875-2371 (614) 357-7968

PECOS Enrollment

Based on the most recent information from CMS, provider Brandi Nicole Bare 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
1518472737
Provider Type
Individual
Full Name
Bare, Brandi Nicole
Credential
MS, LSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/11/2017
Last Updated
9/6/2018

Contact Information

Practice Location

5665 Hoover Rd, Grove City, OH 43123

Unlisted Fax

Mailing Location

4831 Trailpath Dr, Dublin, OH 43016-8399

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License S.0025732 Ohio