Lynnell Marie Herzer | New York, NY • PECOS Search

Lynnell Marie Herzer

Social Worker

Behavioral Health & Social Service Providers

459 W 35th St Apt 4w, New York, NY 10001-1510

PECOS Enrollment

Based on the most recent information from CMS, provider Lynnell Marie Herzer does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 2:56 PM.

Profile Details

Provider ID
1093436412
Provider Type
Individual
Full Name
Herzer, Lynnell Marie
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/5/2022
Last Updated
9/5/2022

Contact Information

Practice Location

459 W 35th St Apt 4w, New York, NY 10001-1510

Unlisted Fax

Mailing Location

459 W 35th St Apt 4w, New York, NY 10001-1510

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 1833889 New York