OrganizationCommunity Psychotherapy Lcsw, PllcSocial WorkerBehavioral Health & Social Service ProvidersPractice Address11 W Prospect Ave, Mount Vernon, NY 10550-2017(888) 931-3303PECOS EnrollmentBased on the most recent information from CMS, provider Community Psychotherapy Lcsw, Pllc 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 3 days ago.Profile DetailsProvider ID1407482938Provider TypeOrganizationFull NameCommunity Psychotherapy Lcsw, PllcSubpartNoEnumeration Date3/16/2020Last Updated3/16/2020Contact InformationPractice LocationPractice Address11 W Prospect Ave, Mount Vernon, NY 10550-2017Phone(888) 931-3303Fax(888) 635-9933Mailing LocationMailing Address6 E Sussex Pl, New Castle, DE 19720-8801Phone(888) 931-3303Fax(888) 635-9933Authorized OfficialNameLanier, Preston J (President/Therapist)Phone(888) 931-3303Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer