Individual ProviderAmy LaglederSocial WorkerBehavioral Health & Social Service ProvidersPractice Address100 W School House Ln, Philadelphia, PA 19144-3404(267) 331-4703PECOS EnrollmentBased on the most recent information from CMS, provider Amy Lagleder 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 ID1558807115Provider TypeIndividualFull NameLagleder, AmyCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date1/6/2017Last Updated1/6/2017Contact InformationPractice LocationPractice Address100 W School House Ln, Philadelphia, PA 19144-3404Phone(267) 331-4703Fax(215) 951-4704Mailing LocationMailing Address100 W School House Ln, Philadelphia, PA 19144-3404Phone(267) 331-4703Fax(215) 951-4704Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCW018048Pennsylvania