Individual ProviderNikki SchultzSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1983 Crompond Rd Ste 203, Cortlandt Manor, NY 10567-4121(914) 380-8636PECOS EnrollmentBased on the most recent information from CMS, provider Nikki Schultz 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 3 days ago.Profile DetailsProvider ID1518578715Provider TypeIndividualFull NameSchultz, NikkiCredentialLMSWGenderFemaleSole ProprietorYesEnumeration Date8/11/2020Last Updated8/11/2020Contact InformationPractice LocationPractice Address1983 Crompond Rd Ste 203, Cortlandt Manor, NY 10567-4121Phone(914) 380-8636FaxUnlisted FaxMailing LocationMailing Address1983 Crompond Rd Ste 203, Cortlandt Manor, NY 10567-4121Phone(914) 380-8636FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode104100000XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense105451-1New YorkProvider IdentifiersIDDescriptionIssuerID105451-1DescriptionOtherIssuerLMSWNew York