Individual ProviderSara HassanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1178 Broadway, 3rd Floor #181, New York, NY 10001(929) 398-5774PECOS EnrollmentBased on the most recent information from CMS, provider Sara Hassan 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 2:56 PM.Profile DetailsProvider ID1710460209Provider TypeIndividualFull NameHassan, SaraCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date9/11/2018Last Updated11/15/2024Contact InformationPractice LocationPractice Address1178 Broadway, 3rd Floor #181, New York, NY 10001Phone(929) 398-5774FaxUnlisted FaxMailing LocationMailing Address1178 Broadway, 3rd Floor #181, New York, NY 10001PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense097098New York