Individual ProviderJudith L. HartSocial WorkerBehavioral Health & Social Service ProvidersPractice Address25 Rockwood Pl, Englewood, NJ 07631-4957(201) 292-1400(201) 936-4724PECOS EnrollmentBased on the most recent information from CMS, provider Judith L. Hart 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 11:47 AM.Profile DetailsProvider ID1932752821Provider TypeIndividualFull NameHart, Judith L.CredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date7/19/2019Last Updated7/19/2019Contact InformationPractice LocationPractice Address25 Rockwood Pl, Englewood, NJ 07631-4957Phone(201) 292-1400FaxUnlisted FaxMailing LocationMailing Address92 Randolph Ave, Dumont, NJ 07628-1920Phone(201) 936-4724FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense44SC05787100New JerseyProvider IdentifiersIDDescriptionIssuerIDPENDINGDescriptionMedicaidIssuerUnlistedNew Jersey