Individual ProviderSusan Ellen LundonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address460 West 34th Street, 11th Floor, New York, NY 10001(212) 273-6414PECOS EnrollmentBased on the most recent information from CMS, provider Susan Ellen Lundon 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 ID1306283858Provider TypeIndividualFull NameLundon, Susan EllenCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date5/23/2013Last Updated2/7/2020Contact InformationPractice LocationPractice Address460 West 34th Street, 11th Floor, New York, NY 10001Phone(212) 273-6414FaxUnlisted FaxMailing LocationMailing Address460 West 34th Street, 11th Floor, New York, NY 10001Phone(212) 273-6414FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense088491-01New YorkCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense064554New York