OrganizationEsmeralda Shaska Lmsw, Llc(<Unavail>)CounselorBehavioral Health & Social Service ProvidersPractice Address415 S West St Ste 150, Royal Oak, MI 48067-2521(313) 622-7583PECOS EnrollmentBased on the most recent information from CMS, provider Esmeralda Shaska Lmsw, Llc 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 ID1295240257Provider TypeOrganizationFull NameEsmeralda Shaska Lmsw, LlcOther Name<Unavail>SubpartNoEnumeration Date12/12/2017Last Updated12/12/2017Contact InformationPractice LocationPractice Address415 S West St Ste 150, Royal Oak, MI 48067-2521Phone(313) 622-7583FaxUnlisted FaxMailing LocationMailing Address1830 Evergreen Dr, Royal Oak, MI 48073-3911Phone(313) 622-7583FaxUnlisted FaxAuthorized OfficialNameShaska, Esmeralda (Clinical Sw)Phone(313) 622-7583Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense6801085518Michigan