Scott Giacomucci | Media, PA • PECOS Search

Scott Giacomucci

Social Worker

Behavioral Health & Social Service Providers

524 N Providence Rd, Media, PA 19063-3056

PECOS Enrollment

Based on the most recent information from CMS, provider Scott Giacomucci 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
1154870889
Provider Type
Individual
Full Name
Giacomucci, Scott
Title
Dr.
Credential
DSW, LCSW, CTTS, PAT

Gender
Male
Sole Proprietor
Yes
Enumeration Date
9/22/2016
Last Updated
11/4/2020

Contact Information

Practice Location

524 N Providence Rd, Media, PA 19063-3056

Unlisted Fax

Mailing Location

524 N Providence Rd, Media, PA 19063-3056

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License CW019573 Pennsylvania