Individual ProviderMichelle BowenSocial WorkerBehavioral Health & Social Service ProvidersPractice Address7701 13th Ave, Brooklyn, NY 11228-2413(347) 339-5478PECOS EnrollmentBased on the most recent information from CMS, provider Michelle Bowen 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 2 days ago.Profile DetailsProvider ID1538880117Provider TypeIndividualFull NameBowen, MichelleCredentialLMSWGenderFemaleSole ProprietorNoEnumeration Date9/12/2022Last Updated9/12/2022Contact InformationPractice LocationPractice Address7701 13th Ave, Brooklyn, NY 11228-2413Phone(347) 339-5478FaxUnlisted FaxMailing LocationMailing Address7701 13th Ave, Brooklyn, NY 11228-2413PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense116357-01New York