Individual ProviderEllen Elizabeth PerrySocial WorkerBehavioral Health & Social Service ProvidersPractice Address400 Estudillo Ave Ste 100, San Leandro, CA 94577-4962(510) 352-9200PECOS EnrollmentBased on the most recent information from CMS, provider Ellen Elizabeth Perry 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 3 days ago.Profile DetailsProvider ID1427579226Provider TypeIndividualFull NamePerry, Ellen ElizabethTitleMs.GenderFemaleSole ProprietorNoEnumeration Date6/30/2017Last Updated8/8/2024Contact InformationPractice LocationPractice Address400 Estudillo Ave Ste 100, San Leandro, CA 94577-4962Phone(510) 352-9200FaxUnlisted FaxMailing LocationMailing Address400 Estudillo Ave Ste 100, San Leandro, CA 94577-4962Phone(510) 352-9200FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLCSW123836CaliforniaCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense87361California