Individual ProviderLaila MejiaSocial WorkerBehavioral Health & Social Service ProvidersPractice Address16 Maxi Ct, Staten Island, NY 10304-5201(917) 670-3521PECOS EnrollmentBased on the most recent information from CMS, provider Laila Mejia 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 11:47 AM.Profile DetailsProvider ID1114594496Provider TypeIndividualFull NameMejia, LailaTitleMrs.CredentialLMSWGenderFemaleSole ProprietorYesEnumeration Date6/7/2021Last Updated6/7/2021Contact InformationPractice LocationPractice Address16 Maxi Ct, Staten Island, NY 10304-5201Phone(917) 670-3521FaxUnlisted FaxMailing LocationMailing Address16 Maxi Ct, Staten Island, NY 10304-5201Phone(917) 670-3521FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense111987-01New York