Individual ProviderJacqueline SchmidtSocial WorkerBehavioral Health & Social Service ProvidersPractice Address237 Mamaroneck Ave, Suite 400, White Plains, NY 10605-1319(917) 716-1673PECOS EnrollmentBased on the most recent information from CMS, provider Jacqueline Schmidt 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 ID1437328309Provider TypeIndividualFull NameSchmidt, JacquelineCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date2/26/2008Last Updated2/26/2008Contact InformationPractice LocationPractice Address237 Mamaroneck Ave, Suite 400, White Plains, NY 10605-1319Phone(917) 716-1673FaxUnlisted FaxMailing LocationMailing Address123 Mamaroneck Ave, Apt. 403, Mamaroneck, NY 10543-3760Phone(917) 716-1673FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense069269-1New York