Ms Kellie Renee Cousino, LISW in Toledo, OH - Medicare Clinical Social Worker Provider

Ms Kellie Renee Cousino, LISW is a medicare enrolled "Social Worker - Clinical" provider in Toledo, Ohio. She graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Ria Health Pc, Mental Health Specialty Group Pa and her current practice location is 2606 102nd St, Toledo, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 217-2122.

Ms Kellie Renee Cousino is licensed to practice in Ohio (license number I.2203507-SUPV) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295224897.

Contact Information

	Ms Kellie Renee Cousino, LISW
	2606 102nd St, Toledo, OH 43611-2010
	(419) 217-2122
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kellie Renee Cousino
Gender	Female
Speciality	Clinical Social Worker
Experience	10 Years
Location	2606 102nd St, Toledo, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Ms Kellie Renee Cousino graduated from medical school in 2016

NPI Data:

NPI Number: 1295224897
Provider Enumeration Date: 05/09/2018
Last Update Date: 03/18/2026

Medicare PECOS Information:

PECOS PAC ID: 1153704515
Enrollment ID: I20240809003214

Medical Identifiers

Medical identifiers for Ms Kellie Renee Cousino such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295224897	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	15180 (South Carolina)	Secondary
1041C0700X	Social Worker - Clinical	I.2203507-SUPV (Ohio)	Primary
1041C0700X	Social Worker - Clinical	21506 (Florida)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Ria Health Pc	6204235682	15
Mental Health Specialty Group Pa	8921466228	618

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Ms Kellie Renee Cousino allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20210414000053

Entity Name	Ria Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326539404 PECOS PAC ID: 6204235682 Enrollment ID: O20230707000098

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Kellie Renee Cousino is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Ms Kellie Renee Cousino, LISW 2606 102nd St, Toledo, OH 43611-2010 Ph: (419) 217-2122	Ms Kellie Renee Cousino, LISW 2606 102nd St, Toledo, OH 43611-2010 Ph: (419) 217-2122

Reviews and Comments

Social Worker in Toledo, OH

Karen C. Fritts, L.I.S.W. Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5151 Monroe St, #200, Toledo, OH 43623 Phone: 419-475-4449 Fax: 419-479-3832
Donna Lavette Johnson, BSW, LSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3909 Woodley Rd, Toledo, OH 43606 Phone: 419-475-4449
Stephanie Cafarelli Doran, MSW, LISW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3454 Oak Alley Ct Ste 504, Toledo, OH 43606 Phone: 419-318-8533
Mr. Troy Curtis Miller, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 3232 Central Park W Ste C, Toledo, OH 43617 Phone: 419-740-0402 Fax: 567-232-9178
Mrs. Doreen Michelle Pant, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3335 Meijer Dr, Suite #450, Toledo, OH 43617 Phone: 419-467-6361 Fax: 419-671-8026
Lea Rosenberg, MSW, LSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1425 Starr Ave, Toledo, OH 43605 Phone: 419-693-0631 Fax: 419-936-7606
Nicholas E Mueser, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3909 Woodley Rd, Toledo, OH 43606 Phone: 419-725-3330

Ms Kellie Renee Cousino, LISW - Medicare Clinical Social Worker in Toledo, OH