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 yesterday at 11:13 AM.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