Individual ProviderEllen ChungSocial WorkerBehavioral Health & Social Service ProvidersPractice Address111 Elwyn Rd, Elwyn, PA 19063-4622(610) 891-7048PECOS EnrollmentBased on the most recent information from CMS, provider Ellen Chung 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 2 days ago.Profile DetailsProvider ID1164840542Provider TypeIndividualFull NameChung, EllenCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date4/2/2014Last Updated4/2/2014Contact InformationPractice LocationPractice Address111 Elwyn Rd, Elwyn, PA 19063-4622Phone(610) 891-7048Fax(610) 891-2666Mailing LocationMailing Address111 Elwyn Rd, Elwyn, PA 19063-4622Phone(610) 891-7048Fax(610) 891-2666Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCW13637Pennsylvania