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Evadne Viola Morrison-Taylor

Social Worker

Behavioral Health & Social Service Providers

8900 Van Wyck Expy, Jamaica, NY 11418-2897

PECOS Enrollment

This provider is enrolled in PECOS as EVADNE MORRISON-TAYLOR.

Based on the most recent information from CMS, provider Evadne Viola Morrison-Taylor is legally eligible to order and refer claims for Part B and DME services only.

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

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1285775320
Provider Type
Individual
Full Name
Morrison-Taylor, Evadne Viola
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/10/2007
Last Updated
7/29/2016

Contact Information

Practice Location

8900 Van Wyck Expy, Jamaica, NY 11418-2897

(718) 206-6000

Unlisted Fax

Mailing Location

21 Dale Dr, Farmingdale, NY 11735-2201

(516) 843-7629

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 074302 New York

Evadne Viola Morrison-Taylor

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Saith, John

Cervo, Lynn Marie

Liotta, Anthony J

Cha, Ji Hwan

Delghavi, Mariel

Agoado, Barry I.

Eagan, Joanne L.

Sullivan, Agnes

Burgos, Nancy Lynn

Felder, Michelle Renaay Harris