Larissa Seymour | Englewood, NJ • PECOS Search

Larissa Seymour

Social Worker

Behavioral Health & Social Service Providers

14 N Dean St, Englewood, NJ 07631-2835

(201) 561-8544 (201) 233-7755

PECOS Enrollment

Based on the most recent information from CMS, provider Larissa Seymour 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 yesterday at 11:47 AM.

Profile Details

Provider ID
1730455056
Provider Type
Individual
Full Name
Seymour, Larissa
Title
Mrs.
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/30/2012
Last Updated
10/24/2024

Contact Information

Practice Location

14 N Dean St, Englewood, NJ 07631-2835

(201) 567-7105

Mailing Location

20 W Palisade Ave, Englewood, NJ 07631-2717

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 44SC05602900 New Jersey