Individual ProviderSusan StantonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address100 Deerfield Rd, Windsor, CT 06095-4252(860) 714-9500PECOS EnrollmentBased on the most recent information from CMS, provider Susan Stanton 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 ID1194888164Provider TypeIndividualFull NameStanton, SusanCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date12/19/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address100 Deerfield Rd, Windsor, CT 06095-4252Phone(860) 714-9500Fax(860) 714-8555Mailing LocationMailing Address100 Deerfield Rd, Windsor, CT 06095-4252Phone(860) 714-9500Fax(860) 714-8555Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense003533Connecticut