Kimberly Hanley | New York, NY • PECOS Search

Kimberly Hanley

Social Worker

Behavioral Health & Social Service Providers

460 West 34th Street, New York, NY 10001

PECOS Enrollment

Based on the most recent information from CMS, provider Kimberly Hanley 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
1225432883
Provider Type
Individual
Full Name
Hanley, Kimberly
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/10/2014
Last Updated
12/23/2014

Contact Information

Practice Location

460 West 34th Street, New York, NY 10001

Unlisted Fax

Mailing Location

460 West 34th Street, New York, NY 10001

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 079899 New York