Sean Fenton | Mount Vernon, NY • PECOS Search

Sean Fenton

Social Worker

Behavioral Health & Social Service Providers

138 N Fulton Ave, Mount Vernon, NY 10550-1507

PECOS Enrollment

Based on the most recent information from CMS, provider Sean Fenton 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 3 days ago.

Profile Details

Provider ID
1417408329
Provider Type
Individual
Full Name
Fenton, Sean
Credential
LCSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
10/17/2016
Last Updated
10/17/2016

Contact Information

Practice Location

138 N Fulton Ave, Mount Vernon, NY 10550-1507

Unlisted Fax

Mailing Location

138 N Fulton Ave, Mount Vernon, NY 10550-1507

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 062812-1