Amy Lynn Marseline | San Jose, CA • PECOS Search

Amy Lynn Marseline

Social Worker

Behavioral Health & Social Service Providers

195 E San Fernando St, San Jose, CA 95112-3503

PECOS Enrollment

Based on the most recent information from CMS, provider Amy Lynn Marseline does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1902187594
Provider Type
Individual
Full Name
Marseline, Amy Lynn
Title
Ms.
Credential
MSW

Gender
Female
Sole Proprietor
No
Enumeration Date
9/9/2011
Last Updated
10/2/2012

Contact Information

Practice Location

195 E San Fernando St, San Jose, CA 95112-3503

(408) 514-2384

Mailing Location

195 E San Fernando St, San Jose, CA 95112-3503

(408) 514-2384

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer