Individual ProviderTak Wai ChauSocial WorkerBehavioral Health & Social Service ProvidersPractice Address36 Rockwood Ave, Port Washingto, NY 11050(917) 622-3558PECOS EnrollmentBased on the most recent information from CMS, provider Tak Wai Chau 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 2 days ago.Profile DetailsProvider ID1043515828Provider TypeIndividualFull NameChau, Tak WaiCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date1/25/2011Last Updated4/10/2017Contact InformationPractice LocationPractice Address36 Rockwood Ave, Port Washingto, NY 11050Phone(917) 622-3558FaxUnlisted FaxMailing LocationMailing Address35 Sandy Hollow Rd, Port Washington, NY 11050Phone(917) 622-3558FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense081718New YorkCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense082476New York