| Cleveland Sex & Intimacy Counseling | |
|
3500 Lorain Ave Ste 301 Cleveland OH 44113-3726 | |
| (216) 250-1607 | |
| (216) 304-6669 |
| Full Name | Cleveland Sex & Intimacy Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 3500 Lorain Ave Ste 301, Cleveland, Ohio |
| Authorized Official Name and Position | Kimberly A Fuller (CEO) |
| Authorized Official Contact | 4408236010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cleveland Sex & Intimacy Counseling 3500 Lorain Ave Ste 301 Cleveland OH 44113-3726 Ph: (216) 250-1607 | Cleveland Sex & Intimacy Counseling 3500 Lorain Ave Ste 301 Cleveland OH 44113-3726 Ph: (216) 250-1607 |
| NPI Number | 1982203246 |
|---|---|
| Provider Enumeration Date | 10/19/2020 |
| Last Update Date | 09/06/2023 |
| Certification Date | 12/03/2021 |
| Medicare PECOS PAC ID | 5890196968 |
|---|---|
| Medicare Enrollment ID | O20210625002716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982203246 | NPI | - | NPPES |
| 1083053375 | Medicaid | OH |
| Provider Name | Kimberly A Fuller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083053375 PECOS PAC ID: 0648497198 Enrollment ID: I20140807001001 |
| Provider Name | Madeline Korth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598279994 PECOS PAC ID: 4880080712 Enrollment ID: I20220401001413 |
| Provider Name | Chloe Campisi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215575493 PECOS PAC ID: 0749669869 Enrollment ID: I20220621001783 |
| Provider Name | Caleb C Sargent |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366017212 PECOS PAC ID: 9133583214 Enrollment ID: I20230907002021 |
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