Individual ProviderDomenica M MondoSocial WorkerBehavioral Health & Social Service ProvidersPractice Address19 West 34th Street, Penthouse, New York, NY 10001(212) 947-7111(914) 725-3726PECOS EnrollmentBased on the most recent information from CMS, provider Domenica M Mondo 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 33 days ago.Profile DetailsProvider ID1568546067Provider TypeIndividualFull NameMondo, Domenica MTitleMs.CredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date10/24/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address19 West 34th Street, Penthouse, New York, NY 10001Phone(212) 947-7111FaxUnlisted FaxMailing LocationMailing Address19 Dogwood Drive, Scarsdale, NY 10583Phone(914) 725-3726FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense0399131New YorkProvider IdentifiersIDDescriptionIssuerID01812495DescriptionMedicaidIssuerUnlistedNew York