Angelita Black Hiraldo | Gig Harbor, WA • PECOS Search

Angelita Black Hiraldo

Social Worker

Behavioral Health & Social Service Providers

7282 Stinson Ave Ste B, Gig Harbor, WA 98335-4930

(616) 619-6541 (971) 772-0309

PECOS Enrollment

Based on the most recent information from CMS, provider Angelita Black Hiraldo 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 3 days ago.

Profile Details

Provider ID
1699418137
Provider Type
Individual
Full Name
Hiraldo, Angelita Black
Credential
MSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/13/2022
Last Updated
4/13/2022

Contact Information

Practice Location

7282 Stinson Ave Ste B, Gig Harbor, WA 98335-4930

Unlisted Fax

Mailing Location

1126 N Wycoff Ave, Bremerton, WA 98312-2810

Unlisted Fax

Provider Taxonomies

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