Individual ProviderJacqueline FurstSocial WorkerBehavioral Health & Social Service ProvidersPractice Address138 West 25th Street, 6th Floor, /Suite 22, New York, NY 10001(917) 743-7454PECOS EnrollmentBased on the most recent information from CMS, provider Jacqueline Furst 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 2:56 PM.Profile DetailsProvider ID1811533201Provider TypeIndividualFull NameFurst, JacquelineCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date11/21/2019Last Updated11/21/2019Contact InformationPractice LocationPractice Address138 West 25th Street, 6th Floor, /Suite 22, New York, NY 10001Phone(917) 743-7454FaxUnlisted FaxMailing LocationMailing Address148 W 23rd St Apt 8g, New York, NY 10011-2471Phone(917) 743-7454FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense073070-1New YorkProvider IdentifiersIDDescriptionIssuerIDXXXXXXDescriptionOtherIssuerNONE