Holly Himstead Moskow | White Plains, NY • PECOS Search

Holly Himstead Moskow

Social Worker

Behavioral Health & Social Service Providers

21 Bloomingdale Road, White Plains, NY 10605-1504

PECOS Enrollment

Based on the most recent information from CMS, provider Holly Himstead Moskow 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 2 days ago.

Profile Details

Provider ID
1104417310
Provider Type
Individual
Full Name
Moskow, Holly Himstead
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
1/30/2021
Last Updated
1/29/2024

Contact Information

Practice Location

21 Bloomingdale Road, White Plains, NY 10605-1504

Unlisted Fax

Mailing Location

21 Bloomingdale Road, White Plains, NY 10605

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 096945 New York