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Susan Ellen Lundon

Social Worker

Behavioral Health & Social Service Providers

460 West 34th Street, 11th Floor, New York, NY 10001

PECOS Enrollment

This provider is enrolled in PECOS as SUSAN LUNDON.

Based on the most recent information from CMS, provider Susan Ellen Lundon is legally eligible to order and refer claims for DME services only.

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

CMS last updated its PECOS records 33 days ago.

Profile Details

Provider ID
1306283858
Provider Type
Individual
Full Name
Lundon, Susan Ellen
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
5/23/2013
Last Updated
2/7/2020

Contact Information

Practice Location

460 West 34th Street, 11th Floor, New York, NY 10001

(212) 273-6414

Unlisted Fax

Mailing Location

460 West 34th Street, 11th Floor, New York, NY 10001

(212) 273-6414

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 088491-01 New York
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License 064554 New York

Susan Ellen Lundon

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

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