Individual ProviderMeghan SullivanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address427 W Earlham Ter, Philadelphia, PA 19144-4501(215) 681-5187PECOS EnrollmentBased on the most recent information from CMS, provider Meghan Sullivan 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 ID1306594551Provider TypeIndividualFull NameSullivan, MeghanCredentialMSW, LCSWGenderFemaleSole ProprietorYesEnumeration Date3/16/2022Last Updated3/16/2022Contact InformationPractice LocationPractice Address427 W Earlham Ter, Philadelphia, PA 19144-4501Phone(215) 681-5187FaxUnlisted FaxMailing LocationMailing Address427 W Earlham Ter, Philadelphia, PA 19144-4501PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCW016018Pennsylvania