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Michele Greene Weisman

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as MICHELE WEISMAN.

Based on the most recent information from CMS, provider Michele Greene Weisman is legally eligible to order and refer claims for Part B and DME services only.

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

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1457409567
Provider Type
Individual
Full Name
Weisman, Michele Greene
Title
Dr.
Credential
PH.D., LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/8/2007
Last Updated
7/8/2007

Contact Information

Practice Location

58 Gentry Dr, Englewood, NJ 07631-5034

(201) 871-8572

(201) 227-0241

Mailing Location

58 Gentry Dr, Englewood, NJ 07631-5034

(201) 871-8572

(201) 227-0241

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 44SC00163900 New Jersey
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License 071434 New York

Michele Greene Weisman

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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License

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