Individual ProviderRichard DemayoSocial WorkerBehavioral Health & Social Service ProvidersPractice Address210 W Front St Fl 2, Media, PA 19063-3101(610) 565-5501PECOS EnrollmentBased on the most recent information from CMS, provider Richard Demayo 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 ID1457522807Provider TypeIndividualFull NameDemayo, RichardTitleMr.CredentialMSW, LCSWGenderMaleSole ProprietorYesEnumeration Date3/13/2008Last Updated3/13/2008Contact InformationPractice LocationPractice Address210 W Front St Fl 2, Media, PA 19063-3101Phone(610) 565-5501Fax(610) 565-5506Mailing LocationMailing Address210 W Front St Fl 2, Media, PA 19063-3101Phone(610) 565-5501Fax(610) 565-5506Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCWO12038Pennsylvania