Look up the most recent NPI and PECOS records

Bonita M Pearsall

Social Worker

Behavioral Health & Social Service Providers

36 E Frront St, Media, PA 19063

PECOS Enrollment

Based on the most recent information from CMS, provider Bonita M Pearsall 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
1487779070
Provider Type
Individual
Full Name
Pearsall, Bonita M
Title
Mrs.
Credential
ACSW LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
3/20/2007
Last Updated
7/8/2007

Contact Information

Practice Location

36 E Frront St, Media, PA 19063

(610) 566-9114

Unlisted Fax

Mailing Location

630 N Lemon St, Media, PA 19063

(610) 566-9114

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License CW012579 Pennsylvania

Provider Identifiers

ID	Description	Issuer
ID 542733	Description Other	Issuer VALUE OPTIONS

Bonita M Pearsall

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Miller, Gary M

Rivers-Ward, Undretta Deon

Paikoff, Miriam K

Malone, Anne T.

Summit Clinical Associates Llc

Kennedy Counseling

Shapiro, Molly

Achtert, Douglas C

Dilbeck, Robert Dewey

H&R Consultation Partners