Individual ProviderAnne T. MaloneSocial WorkerBehavioral Health & Social Service ProvidersPractice Address36 E Front St, #3, Media, PA 19063-2936(610) 565-2636PECOS EnrollmentThis provider is enrolled in PECOS as ANNE MALONE.Based on the most recent information from CMS, provider Anne T. Malone is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1215046438Provider TypeIndividualFull NameMalone, Anne T.CredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date8/30/2006Last Updated3/26/2010Contact InformationPractice LocationPractice Address36 E Front St, #3, Media, PA 19063-2936Phone(610) 565-2636FaxUnlisted FaxMailing LocationMailing Address36 E Front St, #3, Media, PA 19063-2936Phone(610) 565-2636FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCW013410PennsylvaniaProvider IdentifiersIDDescriptionIssuerID259832000DescriptionOtherIssuerMAGELLAN BEHAVIORAL HEALTPennsylvaniaID44758206DescriptionOtherIssuerUNITED BEHAVIORAL HEALTHPennsylvaniaID724562DescriptionMedicaidIssuerUnlistedPennsylvania