Katelynn Gardner | Grove City, OH • PECOS Search

Katelynn Gardner

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 Katelynn Gardner 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
1649786450
Provider Type
Individual
Full Name
Gardner, Katelynn
Credential
LSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/17/2017
Last Updated
12/17/2017

Contact Information

Practice Location

5665 Hoover Rd, Grove City, OH 43123-9122

Unlisted Fax

Mailing Location

3205 Haddington Dr, Reynoldsburg, OH 43068-5085

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 1700676 Ohio