Individual ProviderElizabeth SomsanithSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4700 Wissahickon Ave, Bldg D, Suite 118, Philadelphia, PA 19144-4248(267) 597-3600PECOS EnrollmentBased on the most recent information from CMS, provider Elizabeth Somsanith 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 ID1316356652Provider TypeIndividualFull NameSomsanith, ElizabethGenderFemaleSole ProprietorNoEnumeration Date8/12/2014Last Updated2/11/2016Contact InformationPractice LocationPractice Address4700 Wissahickon Ave, Bldg D, Suite 118, Philadelphia, PA 19144-4248Phone(267) 597-3600FaxUnlisted FaxMailing LocationMailing Address4700 Wissahickon Avenue, Bldg D, Suite 118, Philadelphia, PA 19144Phone(267) 597-3600Fax(267) 597-3622Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCW017660Pennsylvania