Individual ProviderJean MauroSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1 Bryant Crescent, One Lower K., White Plains, NY 10605-2637(914) 948-8408PECOS EnrollmentBased on the most recent information from CMS, provider Jean Mauro is legally eligible to order and refer claims for DME services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1124317631Provider TypeIndividualFull NameMauro, JeanTitleMs.CredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date4/5/2011Last Updated4/5/2011Contact InformationPractice LocationPractice Address1 Bryant Crescent, One Lower K., White Plains, NY 10605-2637Phone(914) 948-8408FaxUnlisted FaxMailing LocationMailing Address1 Bryant Crescent, One Lower K, White Plains, NY 10605-2637Phone(914) 948-8408FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicensePR014467-1New York