Individual ProviderKerriann TavzelSocial WorkerBehavioral Health & Social Service ProvidersPractice Address9 W Prospect Ave, Suite 309, Mount Vernon, NY 10550-2018(914) 669-9124(914) 686-0301PECOS EnrollmentBased on the most recent information from CMS, provider Kerriann Tavzel 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 today at 10:04 AM.Profile DetailsProvider ID1871843318Provider TypeIndividualFull NameTavzel, KerriannCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date9/12/2012Last Updated9/24/2015Contact InformationPractice LocationPractice Address9 W Prospect Ave, Suite 309, Mount Vernon, NY 10550-2018Phone(914) 669-9124FaxUnlisted FaxMailing LocationMailing Address21 Hawthorne Way, Hartsdale, NY 10530-3004Phone(914) 686-0301FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense083614-1New York