Individual ProviderLisa ViergutzSocial WorkerBehavioral Health & Social Service ProvidersPractice Address481 8th Ave # 1040, New York, NY 10001-1809(917) 612-6354PECOS EnrollmentBased on the most recent information from CMS, provider Lisa Viergutz 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 ID1922640127Provider TypeIndividualFull NameViergutz, LisaGenderFemaleSole ProprietorNoEnumeration Date10/9/2019Last Updated5/10/2024Contact InformationPractice LocationPractice Address481 8th Ave # 1040, New York, NY 10001-1809Phone(917) 612-6354FaxUnlisted FaxMailing LocationMailing Address481 8th Ave # 1040, New York, NY 10001-1809Phone(917) 612-6354FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense097475New YorkCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer