Erin Costello Fahnoe | Media, PA • PECOS Search

Erin Costello Fahnoe

Social Worker

Behavioral Health & Social Service Providers

1055 E Baltimore Pike, Suite 300, Media, PA 19063-5173

PECOS Enrollment

Based on the most recent information from CMS, provider Erin Costello Fahnoe 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
1518294156
Provider Type
Individual
Full Name
Fahnoe, Erin Costello
Title
Ms.
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
11/3/2009
Last Updated
11/3/2009

Contact Information

Practice Location

1055 E Baltimore Pike, Suite 300, Media, PA 19063-5173

(484) 468-1412

Mailing Location

1204 Holly Ln, Glen Mills, PA 19342-9620

(484) 468-1412

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License CW014832 Pennsylvania