Ashley Huezo | Staten Island, NY • PECOS Search

Ashley Huezo

Social Worker

Behavioral Health & Social Service Providers

39 Merivale Ln, Staten Island, NY 10304-3858

PECOS Enrollment

Based on the most recent information from CMS, provider Ashley Huezo 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 33 days ago.

Profile Details

Provider ID
1528773561
Provider Type
Individual
Full Name
Huezo, Ashley
Credential
LMSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/13/2023
Last Updated
1/13/2023

Contact Information

Practice Location

39 Merivale Ln, Staten Island, NY 10304-3858

Unlisted Fax

Mailing Location

39 Merivale Ln, Staten Island, NY 10304-3858

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 108272 New York