Individual ProviderMarilyn C ShoumakeSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1580 W Columbia St, Farmington, MO 63640-3512(573) 760-1365PECOS EnrollmentBased on the most recent information from CMS, provider Marilyn C Shoumake 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 34 days ago.Profile DetailsProvider ID1548595499Provider TypeIndividualFull NameShoumake, Marilyn CCredentialMSW LCSW BCDGenderFemaleSole ProprietorNoEnumeration Date10/9/2009Last Updated2/21/2014Contact InformationPractice LocationPractice Address1580 W Columbia St, Farmington, MO 63640-3512Phone(573) 760-1365Fax(573) 760-0354Mailing LocationMailing Address1580 W Columbia St, Farmington, MO 63640-3512Phone(573) 760-1365Fax(573) 760-0354Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense2008009622MissouriCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicense2008009622Missouri