Individual ProviderLisette PerezSocial WorkerBehavioral Health & Social Service ProvidersPractice Address217 Havemeyer St, 4th Floor, Brooklyn, NY 11211-6277(718) 963-4430(212) 924-6324PECOS EnrollmentBased on the most recent information from CMS, provider Lisette Perez 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 yesterday at 9:43 AM.Profile DetailsProvider ID1427163997Provider TypeIndividualFull NamePerez, LisetteCredentialLMSWGenderFemaleSole ProprietorNoEnumeration Date8/21/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address217 Havemeyer St, 4th Floor, Brooklyn, NY 11211-6277Phone(718) 963-4430Fax(718) 963-0814Mailing LocationMailing Address145 W 15th St, 2nd Floor, New York, NY 10011-6701Phone(212) 924-6324Fax(212) 691-5635Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense069100New YorkProvider IdentifiersIDDescriptionIssuerID040426034379DescriptionOtherIssuerFIDELIS PROVIDER NUMBERNew York