Individual ProviderSamantha SeligmanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address7701 13th Ave, Brooklyn, NY 11228-2413(929) 278-5012(917) 588-2422PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Seligman 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 yesterday at 10:18 AM.Profile DetailsProvider ID1962021675Provider TypeIndividualFull NameSeligman, SamanthaCredentialLCSW, CASACGenderFemaleSole ProprietorNoEnumeration Date4/13/2020Last Updated5/10/2022Contact InformationPractice LocationPractice Address7701 13th Ave, Brooklyn, NY 11228-2413Phone(929) 278-5012FaxUnlisted FaxMailing LocationMailing Address2461 E 29th St Apt 2c, Brooklyn, NY 11235-1945Phone(917) 588-2422FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense092929New YorkCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense104891New York