Maryrose W Smith | Media, PA • PECOS Search

Maryrose W Smith

Social Worker

Behavioral Health & Social Service Providers

280 N Providence Rd, Media, PA 19063-3527

(610) 566-3032 (610) 328-4331

PECOS Enrollment

Based on the most recent information from CMS, provider Maryrose W Smith 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
1477528198
Provider Type
Individual
Full Name
Smith, Maryrose W
Title
Ms.

Credential
LCSW
Gender
Female
Enumeration Date
2/17/2006
Last Updated
7/8/2007

Contact Information

Practice Location

280 N Providence Rd, Media, PA 19063-3527

(610) 328-4331

Mailing Location

619 Barry Dr, Springfield, PA 19064-1503

(610) 328-4331

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License CW012602 Pennsylvania