Individual ProviderSusan C MintzSocial WorkerBehavioral Health & Social Service ProvidersPractice Address160 Lincoln Street, Englewood, NJ 07631(201) 916-6000PECOS EnrollmentBased on the most recent information from CMS, provider Susan C Mintz 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 26 days ago.Profile DetailsProvider ID1760649792Provider TypeIndividualFull NameMintz, Susan CTitleMs.CredentialLCSW MAGenderFemaleSole ProprietorNoEnumeration Date5/19/2008Last Updated5/19/2008Contact InformationPractice LocationPractice Address160 Lincoln Street, Englewood, NJ 07631Phone(201) 916-6000Fax(201) 567-5221Mailing LocationMailing Address160 Lincoln Street, Englewood, NJ 07631Phone(201) 916-6000Fax(201) 567-5221Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseR075187New YorkCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense44SL00874400New Jersey