Individual ProviderTalena QueenSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2500 N Providence Rd, Media, PA 19063-1905(302) 721-5449PECOS EnrollmentBased on the most recent information from CMS, provider Talena Queen 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 ID1225496862Provider TypeIndividualFull NameQueen, TalenaCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date2/9/2016Last Updated2/9/2016Contact InformationPractice LocationPractice Address2500 N Providence Rd, Media, PA 19063-1905Phone(302) 721-5449FaxUnlisted FaxMailing LocationMailing Address2500 N Providence Rd, Media, PA 19063-1905Phone(302) 721-5449FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseQ1-0001424Delaware