Individual ProviderAvital SpiegelSocial WorkerBehavioral Health & Social Service ProvidersPractice Address210 W Front St Ste 208, Media, PA 19063-3147(856) 477-1109PECOS EnrollmentBased on the most recent information from CMS, provider Avital Spiegel 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 ID1225401268Provider TypeIndividualFull NameSpiegel, AvitalTitleMrs.CredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date11/12/2015Last Updated10/15/2024Contact InformationPractice LocationPractice Address210 W Front St Ste 208, Media, PA 19063-3147Phone(856) 477-1109FaxUnlisted FaxMailing LocationMailing Address210 W Front St Ste 208, Media, PA 19063-3147Phone(856) 477-1109FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCW018704Pennsylvania