Individual ProviderLouis RosenSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4700 Wissahickon Ave Ste 126, Philadelphia, PA 19144-4248(215) 951-0300(267) 977-5181PECOS EnrollmentBased on the most recent information from CMS, provider Louis Rosen 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 ID1174379390Provider TypeIndividualFull NameRosen, LouisCredentialLCSWGenderMaleSole ProprietorYesEnumeration Date4/29/2024Last Updated4/29/2024Contact InformationPractice LocationPractice Address4700 Wissahickon Ave Ste 126, Philadelphia, PA 19144-4248Phone(215) 951-0300FaxUnlisted FaxMailing LocationMailing Address775 S 3rd St Unit 3, Philadelphia, PA 19147-3325Phone(267) 977-5181FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCW024089Pennsylvania