OrganizationAmalia Golomb-Leavitt Lcsw LlcSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1000 W Diversey Pkwy Ste 275, Chicago, IL 60614-1879(617) 571-9003PECOS EnrollmentBased on the most recent information from CMS, provider Amalia Golomb-Leavitt Lcsw Llc 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 12:57 PM.Profile DetailsProvider ID1033895339Provider TypeOrganizationFull NameAmalia Golomb-Leavitt Lcsw LlcSubpartNoEnumeration Date6/22/2023Last Updated6/22/2023Contact InformationPractice LocationPractice Address1000 W Diversey Pkwy Ste 275, Chicago, IL 60614-1879Phone(617) 571-9003FaxUnlisted FaxMailing LocationMailing Address1000 W Diversey Pkwy Ste 275, Chicago, IL 60614-1879Phone(617) 571-9003FaxUnlisted FaxAuthorized OfficialNameGolomb-Leavitt, Amalia (Lcsw)Phone(617) 571-9003Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer