Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Pamela Sue Kucklick, LPCC-S-SUPV

Individual provider Mental Health Counselor · NPI 1245637446

MS. Pamela Sue Kucklick, LPCC-S-SUPV is a Clinical Social Worker in Cleveland, Ohio. Qualified in 1997, 29 years ago. Practices with Near West Side Multi Service Corporation, a 3-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
29
Licensed in
OH
In the registry since
2014
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Practice location Address checks out

4115 Bridge Ave
Cleveland, OH 44113-3304
Phone: (216) 651-5800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence E.0006764-SUPV (OH)

Record details

NPI number1245637446
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC-S-SUPV
Sole proprietorNo
NPI enumeratedDecember 3, 2014
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Near West Side Multi Service Corporation — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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