Individual ProviderStephen McdonnellSocial WorkerBehavioral Health & Social Service ProvidersPractice Address421 7th Ave Ste 710, New York, NY 10001-2002(347) 304-1060PECOS EnrollmentBased on the most recent information from CMS, provider Stephen Mcdonnell is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 2:56 PM.Profile DetailsProvider ID1538228085Provider TypeIndividualFull NameMcdonnell, StephenTitleMr.CredentialLCSWGenderMaleSole ProprietorYesEnumeration Date12/8/2006Last Updated1/7/2020Contact InformationPractice LocationPractice Address421 7th Ave Ste 710, New York, NY 10001-2002Phone(347) 304-1060Fax(347) 382-9422Mailing LocationMailing Address421 7th Ave Ste 710, New York, NY 10001-2002Phone(347) 304-1060Fax(347) 382-9422Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense077256New York