Individual ProviderJoanna BienkoSocial WorkerBehavioral Health & Social Service ProvidersPractice Address5515 Wissahickon Ave, Apt D.403, Philadelphia, PA 19144-4554(215) 205-3421PECOS EnrollmentBased on the most recent information from CMS, provider Joanna Bienko 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 ID1356590574Provider TypeIndividualFull NameBienko, JoannaGenderFemaleSole ProprietorYesEnumeration Date9/11/2008Last Updated9/11/2008Contact InformationPractice LocationPractice Address5515 Wissahickon Ave, Apt D.403, Philadelphia, PA 19144-4554Phone(215) 205-3421FaxUnlisted FaxMailing LocationMailing Address5515 Wissahickon Ave, Apt D.403, Philadelphia, PA 19144-4554PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCW016066PennsylvaniaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseCW016066Pennsylvania