Individual ProviderAmy EbersoleSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2427 Lincoln St, Bellingham, WA 98225-3841(360) 220-9240PECOS EnrollmentBased on the most recent information from CMS, provider Amy Ebersole 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 ID1184078495Provider TypeIndividualFull NameEbersole, AmyCredentialLICSWGenderFemaleSole ProprietorNoEnumeration Date4/22/2016Last Updated12/10/2020Contact InformationPractice LocationPractice Address2427 Lincoln St, Bellingham, WA 98225-3841Phone(360) 220-9240FaxUnlisted FaxMailing LocationMailing Address2950 Newmarket St Ste 101342, Bellingham, WA 98226-3872Phone(360) 220-9240FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLW61075196Washington