OrganizationProfessional Institute For Clinical Service, LlcSocial WorkerBehavioral Health & Social Service ProvidersPractice Address360 Bloomfield Ave Ste 306, Windsor, CT 06095-2700(860) 539-5995PECOS EnrollmentBased on the most recent information from CMS, provider Professional Institute For Clinical Service, Llc 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 ID1518443027Provider TypeOrganizationFull NameProfessional Institute For Clinical Service, LlcSubpartNoEnumeration Date7/17/2018Last Updated7/17/2018Contact InformationPractice LocationPractice Address360 Bloomfield Ave Ste 306, Windsor, CT 06095-2700Phone(860) 539-5995FaxUnlisted FaxMailing LocationMailing Address114 Indian Hill Rd, Windsor, CT 06095-1453Phone(860) 539-5995FaxUnlisted FaxAuthorized OfficialNamePearson, Trudy Tamara (Clinical Social Worker)Phone(860) 539-5995Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense009351Connecticut