Individual ProviderJennifer L TanguaySocial WorkerBehavioral Health & Social Service ProvidersPractice Address305 Carpenter Rd, Fort Collins, CO 80525-4248(970) 663-3500PECOS EnrollmentThis provider is enrolled in PECOS as JENNIFER TANGUAY.Based on the most recent information from CMS, provider Jennifer L Tanguay is legally eligible to order and refer claims for DME services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1891055604Provider TypeIndividualFull NameTanguay, Jennifer LCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date5/25/2012Last Updated2/23/2021Contact InformationPractice LocationPractice Address305 Carpenter Rd, Fort Collins, CO 80525-4248Phone(970) 663-3500Fax(970) 226-9041Mailing LocationMailing Address305 Carpenter Rd, Fort Collins, CO 80525-4248Phone(970) 663-3500FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer