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 2 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