| Kylie S Carter, LISW | |
| 11801 Buckeye Rd, Cleveland, OH 44120-2620 | |
| (216) 831-2255 | |
| (216) 378-3906 | 
| Full Name | Kylie S Carter | 
|---|---|
| Gender | Female | 
| Speciality | Social Worker - Clinical | 
| Location | 11801 Buckeye Rd, Cleveland, Ohio | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1346689726 | NPI | - | NPPES | 
| 2871101 | Medicaid | OH | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | S.1100605 (Ohio) | Secondary | 
| 1041C0700X | Social Worker - Clinical | I.1600241 (Ohio) | Primary | 
| Entity Name | National Youth Advocate Program Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1679721906 PECOS PAC ID: 7719258292 Enrollment ID: O20170801003093 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kylie S Carter, LISW 3737 Lander Rd, Pepper Pike, OH 44124-5712 Ph: (216) 831-2255 | Kylie S Carter, LISW 11801 Buckeye Rd, Cleveland, OH 44120-2620 Ph: (216) 831-2255 | 
| Claudette M Williams, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5500 S Marginal Rd, Cleveland, OH 44103 Phone: 216-221-7588 | |
| Kim M Jackson, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3500 Carnegie Ave, Cleveland, OH 44115 Phone: 440-260-8554 | |
| Sherah Y Newman, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12201 Euclid Ave, Cleveland, OH 44106 Phone: 216-707-3469 Fax: 216-707-3529 | |
| Jacqueline H Goodin, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3430 Rocky River Dr, Cleveland, OH 44111 Phone: 216-688-1111 Fax: 216-251-2886 | |
| Ms. Heather Ross, MSSA Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13705 Shaker Blvd., Cleveland, OH 44120 Phone: 216-570-7314 | |
| Mrs. Mervat M Khafaga, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4115 Bridge Ave, Cleveland, OH 44113 Phone: 216-631-5800 Fax: 216-631-4595 | |
| Ruth Sudilovsky-pecha, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 526 Superior Ave E, #1400, Cleveland, OH 44114 Phone: 216-619-6194 |