Individual ProviderMillicent AmpaduSocial WorkerBehavioral Health & Social Service ProvidersPractice Address111 Dahlgren Pl, Brooklyn, NY 11228-3693(718) 745-4288PECOS EnrollmentBased on the most recent information from CMS, provider Millicent Ampadu is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1962921452Provider TypeIndividualFull NameAmpadu, MillicentCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date9/15/2017Last Updated7/21/2022Contact InformationPractice LocationPractice Address111 Dahlgren Pl, Brooklyn, NY 11228-3693Phone(718) 745-4288FaxUnlisted FaxMailing LocationMailing Address111 Dahlgren Pl, Brooklyn, NY 11228-3693Phone(718) 745-4288FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense089695New YorkCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense097468New York