Individual ProviderMindy ConvieSocial WorkerBehavioral Health & Social Service ProvidersPractice Address15 S Macquesten Pkwy Ste 103, Mount Vernon, NY 10550-1733(914) 419-6201PECOS EnrollmentBased on the most recent information from CMS, provider Mindy Convie 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 3 days ago.Profile DetailsProvider ID1629319967Provider TypeIndividualFull NameConvie, MindyCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date3/12/2013Last Updated12/9/2022Contact InformationPractice LocationPractice Address15 S Macquesten Pkwy Ste 103, Mount Vernon, NY 10550-1733Phone(914) 419-6201FaxUnlisted FaxMailing LocationMailing Address15 S Macquesten Pkwy Ste 103, Mount Vernon, NY 10550-1733Phone(914) 419-6201FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense084933New YorkCode101Y00000XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense088740-1New York