Individual ProviderAmel Mohamed-WhitesideSocial WorkerBehavioral Health & Social Service ProvidersPractice Address460 W 34th St, 11th Floor, New York, NY 10001-2320(212) 273-6100PECOS EnrollmentBased on the most recent information from CMS, provider Amel Mohamed-Whiteside 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 ID1407108285Provider TypeIndividualFull NameMohamed-Whiteside, AmelCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date10/4/2012Last Updated8/3/2017Contact InformationPractice LocationPractice Address460 W 34th St, 11th Floor, New York, NY 10001-2320Phone(212) 273-6100FaxUnlisted FaxMailing LocationMailing Address460 W 34th St, 11th Floor, New York, NY 10001-2320Phone(212) 273-6100FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense805416New YorkCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense086235New York