Individual ProviderCarmen Bergeron FalgoutSocial WorkerBehavioral Health & Social Service ProvidersPractice Address100 Coulee Shore Dr, Lafayette, LA 70503-3021(337) 237-0036PECOS EnrollmentBased on the most recent information from CMS, provider Carmen Bergeron Falgout does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:50 AM.Profile DetailsProvider ID1033137575Provider TypeIndividualFull NameFalgout, Carmen BergeronTitleMrs.CredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date7/17/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address100 Coulee Shore Dr, Lafayette, LA 70503-3021Phone(337) 237-0036Fax(337) 237-0566Mailing LocationMailing Address100 Coulee Shore Dr, Lafayette, LA 70503-3021Phone(337) 237-0036Fax(337) 237-0566Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense2950Louisiana