Individual ProviderJesse LiuSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2919 Alamo Ave, Fort Collins, CO 80525-2503(970) 658-0024PECOS EnrollmentBased on the most recent information from CMS, provider Jesse Liu 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 3 days ago.Profile DetailsProvider ID1558143602Provider TypeIndividualFull NameLiu, JesseCredentialLCSWGenderMaleSole ProprietorYesEnumeration Date10/13/2023Last Updated2/24/2025Contact InformationPractice LocationPractice Address2919 Alamo Ave, Fort Collins, CO 80525-2503Phone(970) 658-0024FaxUnlisted FaxMailing LocationMailing AddressPO Box 270326, Fort Collins, CO 80527-0326PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense.09929578Colorado