Joanne Lizbeth Hernandez | Staten Island, NY • PECOS Search

Joanne Lizbeth Hernandez

Social Worker

Behavioral Health & Social Service Providers

125 Greenfield Ave, Staten Island, NY 10304-3732

PECOS Enrollment

Based on the most recent information from CMS, provider Joanne Lizbeth Hernandez 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 yesterday at 11:47 AM.

Profile Details

Provider ID
1053730713
Provider Type
Individual
Full Name
Hernandez, Joanne Lizbeth
Title
Miss
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/9/2014
Last Updated
2/28/2020

Contact Information

Practice Location

125 Greenfield Ave, Staten Island, NY 10304-3732

Unlisted Fax

Mailing Location

125 Greenfield Ave, Staten Island, NY 10304-3732

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 091097-1 New York