Timothy Pellegrin | White Plains, NY • PECOS Search

Timothy Pellegrin

Social Worker

Behavioral Health & Social Service Providers

180 S Broadway Ste 401, White Plains, NY 10605-1820

PECOS Enrollment

Based on the most recent information from CMS, provider Timothy Pellegrin does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1013485432
Provider Type
Individual
Full Name
Pellegrin, Timothy
Credential
LMSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
11/2/2018
Last Updated
11/2/2018

Contact Information

Practice Location

180 S Broadway Ste 401, White Plains, NY 10605-1820

Unlisted Fax

Mailing Location

217 S Broadway Apt 2, Tarrytown, NY 10591-4510

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 094315 New York