Individual ProviderJames NiederlandSocial WorkerBehavioral Health & Social Service ProvidersPractice Address108 Glenwood Rd, Englewood, NJ 07631-1951(201) 567-8119PECOS EnrollmentBased on the most recent information from CMS, provider James Niederland 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 ID1467640094Provider TypeIndividualFull NameNiederland, JamesCredentialLCSWGenderMaleSole ProprietorYesEnumeration Date10/9/2007Last Updated10/9/2007Contact InformationPractice LocationPractice Address108 Glenwood Rd, Englewood, NJ 07631-1951Phone(201) 567-8119Fax(201) 503-8123Mailing LocationMailing Address108 Glenwood Rd, Englewood, NJ 07631-1951Phone(201) 567-8119FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense44SC04626300New Jersey