Individual ProviderDiane Jean WaackSocial WorkerBehavioral Health & Social Service ProvidersPractice Address16831 Trail View Cir, Parker, CO 80134-4346(303) 471-1769PECOS EnrollmentBased on the most recent information from CMS, provider Diane Jean Waack 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 yesterday at 10:04 AM.Profile DetailsProvider ID1356645626Provider TypeIndividualFull NameWaack, Diane JeanTitleMrs.CredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date12/30/2010Last Updated12/30/2010Contact InformationPractice LocationPractice Address16831 Trail View Cir, Parker, CO 80134-4346Phone(303) 471-1769FaxUnlisted FaxMailing LocationMailing Address16831 Trail View Cir, Parker, CO 80134-4346Phone(303) 471-1769FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense516ColoradoProvider IdentifiersIDDescriptionIssuerID516DescriptionOtherIssuerLCSWColorado