Look up the most recent NPI and PECOS records

Lauren Derosa

Social Worker

Behavioral Health & Social Service Providers

19 Greenridge Ave, White Plains, NY 10605-1201

PECOS Enrollment

Based on the most recent information from CMS, provider Lauren Derosa 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
1447584677
Provider Type
Individual
Full Name
Derosa, Lauren
Gender
Female

Sole Proprietor
No
Enumeration Date
9/21/2009
Last Updated
8/18/2011

Contact Information

Practice Location

19 Greenridge Ave, White Plains, NY 10605-1201

(914) 949-7681

(914) 997-7942

Mailing Location

1156 N Broadway, Yonkers, NY 10701-1108

(914) 949-7680

(914) 997-7942

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 084318 New York
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer

Provider Identifiers

ID	Description	Issuer
ID 1285628552	Description Other	Issuer AGENCY NPI # New York
ID 00355940	Description Other	Issuer AGENCY MEDICAID PROVIDER ID New York
ID WVE061	Description Other	Issuer AGENCY MEDICARE ID New York

Lauren Derosa

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Degaetano, Deanna

Rudd, Jennifer Lynn

Cohen, Alyson Leigh

Rinaldi, Amanda

Ruiz-Diaz, Elena M

Vazquez, Leigh E

Kittay, Debra J.

Clarkson, Kathleen

Zelaya, Amy I.

Day, Olita