Near West Side Multi Service Corporation
A Medicare group practice based in Cleveland, OH: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 7911139381), with 5 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 7911139381
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- OH
- Enrollments
- 1
- Group size
- 3 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 2
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20140417000939 | OH | Part B Supplier - Clinic/Group Practice | 1184960510 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Near West Side Multi Service Corporation
- Community/Behavioral Health Agency
- Cleveland, OH
- NPI 1184960510
-
Near West Side Multi Service Corporation
- Substance Use Disorder Rehabilitation Clinic/Center
- Cleveland, OH
- NPI 1184194045
Practice locations
- Cleveland, OH2
Clinicians 5
Clinicians who reassign their Medicare benefits to this group (5) or whom Care Compare lists as members (3).
-
Laura Ann Bobrowski, LPCC
- Professional Counselor
- Cleveland, OH
- NPI 1013297019
-
Nicole Leigh Fisher, LPCC, LICDC
- Mental Health Counselor
- Mentor, OH
- NPI 1346754942
-
Pamela Sue Kucklick, LPCC-S-SUPV
- Mental Health Counselor
- Cleveland, OH
- NPI 1245637446
-
Darrylyn C Lockhart, LPCC-S
- Mental Health Counselor
- Cleveland, OH
- NPI 1003441999
-
Anne Spelic, LISW-S
- Clinical Social Worker
- Cleveland, OH
- NPI 1518335579
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.