Individual ProviderDonna NinaSocial WorkerBehavioral Health & Social Service ProvidersPractice Address93 W Palisade Ave, Englewood, NJ 07631-2611(201) 567-5000PECOS EnrollmentBased on the most recent information from CMS, provider Donna Nina 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 ID1992817555Provider TypeIndividualFull NameNina, DonnaTitleMs.CredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date8/31/2006Last Updated11/6/2008Contact InformationPractice LocationPractice Address93 W Palisade Ave, Englewood, NJ 07631-2611Phone(201) 567-5000Fax(201) 384-7067Mailing LocationMailing Address93 W Palisade Ave, Englewood, NJ 07631-2611Phone(201) 567-5000Fax(201) 384-7067Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense44SC00853800New JerseyProvider IdentifiersIDDescriptionIssuerID0005916DescriptionMedicaidIssuerUnlistedNew Jersey