Individual ProviderDrena FagenSocial WorkerBehavioral Health & Social Service ProvidersPractice Address190 N 10th St, Suite 301, Brooklyn, NY 11211-9325(917) 293-4642PECOS EnrollmentBased on the most recent information from CMS, provider Drena Fagen 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 yesterday at 9:43 AM.Profile DetailsProvider ID1033276001Provider TypeIndividualFull NameFagen, DrenaCredentialLCAT, LCSW-RGenderFemaleSole ProprietorYesEnumeration Date1/2/2007Last Updated8/8/2017Contact InformationPractice LocationPractice Address190 N 10th St, Suite 301, Brooklyn, NY 11211-9325Phone(917) 293-4642FaxUnlisted FaxMailing LocationMailing Address190 N 10th St, Suite 301, Brooklyn, NY 11211-9325Phone(917) 293-4642FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense077035New YorkCode221700000XDescriptionArt TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense000144New York