Individual ProviderAmy SamelsonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address7701 13th Ave, Brooklyn, NY 11228-2413(718) 232-1351PECOS EnrollmentBased on the most recent information from CMS, provider Amy Samelson 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 ID1740694033Provider TypeIndividualFull NameSamelson, AmyTitleMs.CredentialLMSW 090646-1GenderFemaleSole ProprietorYesEnumeration Date6/16/2014Last Updated7/17/2014Contact InformationPractice LocationPractice Address7701 13th Ave, Brooklyn, NY 11228-2413Phone(718) 232-1351Fax(718) 837-5676Mailing LocationMailing Address7701 13th Ave, Brooklyn, NY 11228-2413Phone(718) 232-1351Fax(718) 837-5676Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer