Look up the most recent NPI and PECOS records

Brian J Gallagher

Social Worker

Behavioral Health & Social Service Providers

524 N Providence Rd, Media, PA 19063-3056

PECOS Enrollment

Based on the most recent information from CMS, provider Brian J Gallagher does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1346413093
Provider Type
Individual
Full Name
Gallagher, Brian J
Credential
MSW, LCSW

Gender
Male
Sole Proprietor
Yes
Enumeration Date
4/2/2008
Last Updated
5/8/2024

Contact Information

Practice Location

524 N Providence Rd, Media, PA 19063-3056

(484) 440-9416

Unlisted Fax

Mailing Location

3102 N Harrison St, Wilmington, DE 19802-2937

(610) 212-0196

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License CW024673 Pennsylvania
Code 101YM0800X	Description Counselor Behavioral Health & Social Service Providers	License Unlisted Issuer
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License SW123785 Pennsylvania

Brian J Gallagher

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

Kessler, Alyson

Mcpherson, Cynthia Ann

Krall, John

Kaplan Kramer, Ruth P

Frederick, Joanna

Sanders, Roynell

Nagel, Barbara Whitney

Dalton, Harold S.

Arohi Counseling, Llc

Young, Shaynae