Individual ProviderRaquel WeinumSocial WorkerBehavioral Health & Social Service ProvidersPractice Address109 W 27th St Ste 5s, New York, NY 10001-0265(332) 230-4572(833) 351-8255PECOS EnrollmentBased on the most recent information from CMS, provider Raquel Weinum is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 2:56 PM.Profile DetailsProvider ID1740341031Provider TypeIndividualFull NameWeinum, RaquelCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date12/12/2006Last Updated10/21/2024Contact InformationPractice LocationPractice Address109 W 27th St Ste 5s, New York, NY 10001-0265Phone(332) 230-4572FaxUnlisted FaxMailing LocationMailing AddressPO Box 24449, New York, NY 10087-0589Phone(833) 351-8255FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense078309New YorkCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseTPSW3391FloridaCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense8998Tennessee