Look up the most recent NPI and PECOS records

Concern4community Lcsw Services Pllc

Social Worker

Behavioral Health & Social Service Providers

13420 87th Ave, Richmond Hill, NY 11418-1953

PECOS Enrollment

Based on the most recent information from CMS, provider Concern4community Lcsw Services Pllc does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1629677661
Provider Type
Organization
Full Name
Concern4community Lcsw Services Pllc

Subpart
No
Enumeration Date
10/21/2020
Last Updated
10/21/2020

Contact Information

Practice Location

13420 87th Ave, Richmond Hill, NY 11418-1953

(646) 671-7581

Unlisted Fax

Mailing Location

20417 Hillside Ave Ste 33, Hollis, NY 11423-2213

(646) 671-7581

Unlisted Fax

Authorized Official

Little, Tracey (Owner)

(646) 671-7581

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer

Concern4community Lcsw Services Pllc

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Authorized Official

Provider Taxonomies

Code

Description

License

Code

Description

License

Torres, Carolyn

Josue, Marlene Ma

Sigismondi, Lisa V.

Delghavi, Mariel

Saith, John

Felder, Michelle Renaay Harris

Dibello, Corrie E

Morrison-Taylor, Evadne Viola

Smith, Reginald J.

Jacobs, Karen