Individual ProviderAvy Linda SamrethSocial WorkerBehavioral Health & Social Service ProvidersPractice Address232 E Gish Rd, San Jose, CA 95112-4706(669) 347-4296PECOS EnrollmentBased on the most recent information from CMS, provider Avy Linda Samreth 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 2 days ago.Profile DetailsProvider ID1154145530Provider TypeIndividualFull NameSamreth, Avy LindaGenderFemaleSole ProprietorNoEnumeration Date11/12/2024Last Updated3/13/2025Contact InformationPractice LocationPractice Address232 E Gish Rd, San Jose, CA 95112-4706Phone(669) 347-4296FaxUnlisted FaxMailing LocationMailing Address232 E Gish Rd, San Jose, CA 95112-4706Phone(669) 347-4296FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseASW128947California