Individual ProviderJeanette RedmondSocial WorkerBehavioral Health & Social Service ProvidersPractice Address216 S Orange St, 439 South Ave., Media, PA 19063-3626(610) 566-5886PECOS EnrollmentBased on the most recent information from CMS, provider Jeanette Redmond 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 ID1063564318Provider TypeIndividualFull NameRedmond, JeanetteCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date1/17/2007Last Updated6/12/2012Contact InformationPractice LocationPractice Address216 S Orange St, 439 South Ave., Media, PA 19063-3626Phone(610) 566-5886Fax(610) 566-5886Mailing LocationMailing Address216 S Orange St, Media, PA 19063-3626Phone(610) 566-5886Fax(610) 566-5886Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCW014137PennsylvaniaProvider IdentifiersIDDescriptionIssuerID230422000DescriptionMedicaidIssuerUnlistedPennsylvania