OrganizationClinical Therapeutic Support Lcsw PcSocial WorkerBehavioral Health & Social Service ProvidersPractice Address329 Lincoln St Apt 102, Waltham, MA 02451-2187(866) 525-2766(917) 373-4557PECOS EnrollmentBased on the most recent information from CMS, provider Clinical Therapeutic Support Lcsw Pc 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 yesterday at 10:04 AM.Profile DetailsProvider ID1538924964Provider TypeOrganizationFull NameClinical Therapeutic Support Lcsw PcSubpartNoEnumeration Date2/15/2024Last Updated2/15/2024Contact InformationPractice LocationPractice Address329 Lincoln St Apt 102, Waltham, MA 02451-2187Phone(866) 525-2766FaxUnlisted FaxMailing LocationMailing Address459 Columbus Ave Ste 124, New York, NY 10024-5129Phone(917) 373-4557FaxUnlisted FaxAuthorized OfficialNameGleissner, Greta Marie (Ceo)Phone(917) 373-4557Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer