Individual ProviderEliot K GoldSocial WorkerBehavioral Health & Social Service ProvidersPractice Address115 W Harvey St, Philadelphia, PA 19144-2721(301) 318-6674PECOS EnrollmentThis provider is enrolled in PECOS as ELIOT GOLD.Based on the most recent information from CMS, provider Eliot K Gold 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 ID1164247029Provider TypeIndividualFull NameGold, Eliot KCredentialLCSWGenderMaleSole ProprietorYesEnumeration Date11/18/2024Last Updated11/18/2024Contact InformationPractice LocationPractice Address115 W Harvey St, Philadelphia, PA 19144-2721Phone(301) 318-6674FaxUnlisted FaxMailing LocationMailing Address115 W Harvey St, Philadelphia, PA 19144-2721Phone(301) 318-6674FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCW024682PennsylvaniaCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLC200002701District of Columbia