Individual ProviderLisa Blair SandilandsSocial WorkerBehavioral Health & Social Service ProvidersPractice Address93 W Palisade Ave, Englewood, NJ 07631-2611(201) 567-0500PECOS EnrollmentBased on the most recent information from CMS, provider Lisa Blair Sandilands 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 11:47 AM.Profile DetailsProvider ID1598223687Provider TypeIndividualFull NameSandilands, Lisa BlairCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date3/7/2019Last Updated3/7/2019Contact InformationPractice LocationPractice Address93 W Palisade Ave, Englewood, NJ 07631-2611Phone(201) 567-0500FaxUnlisted FaxMailing LocationMailing Address93 W Palisade Ave, Englewood, NJ 07631-2611Phone(201) 567-0500FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense44SC05689800New Jersey