Individual ProviderKalpana V SanmugamCounselorBehavioral Health & Social Service ProvidersPractice Address16715 Aurora Ave N, Shoreline, WA 98133-5310(206) 546-9766PECOS EnrollmentBased on the most recent information from CMS, provider Kalpana V Sanmugam 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 11 days ago.Profile DetailsProvider ID1871148882Provider TypeIndividualFull NameSanmugam, Kalpana VCredentialLACGenderFemaleSole ProprietorNoEnumeration Date8/6/2019Last Updated3/26/2020Contact InformationPractice LocationPractice Address16715 Aurora Ave N, Shoreline, WA 98133-5310Phone(206) 546-9766FaxUnlisted FaxMailing LocationMailing Address16715 Aurora Ave N, Shoreline, WA 98133-5310Phone(206) 546-9766FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101Y00000XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseMC61042060WashingtonCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense1864North Dakota