Individual ProviderNixon CharlesSocial WorkerBehavioral Health & Social Service ProvidersPractice Address7701 13th Ave, Brooklyn, NY 11228-2413(718) 232-1351(718) 826-0350PECOS EnrollmentBased on the most recent information from CMS, provider Nixon Charles 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 10:18 AM.Profile DetailsProvider ID1710916440Provider TypeIndividualFull NameCharles, NixonCredentialLCSWGenderMaleSole ProprietorYesEnumeration Date7/3/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address7701 13th Ave, Brooklyn, NY 11228-2413Phone(718) 232-1351Fax(718) 837-5676Mailing LocationMailing Address74 Church Ln, Middle Island, NY 11953-1708Phone(718) 826-0350FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense059001New York