Individual ProviderNicole NatelsonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address56 Marino Ave, Port Washington, NY 11050-4208(516) 398-4672PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Natelson 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 ID1568279776Provider TypeIndividualFull NameNatelson, NicoleCredentialLMSWGenderFemaleSole ProprietorYesEnumeration Date12/12/2024Last Updated12/12/2024Contact InformationPractice LocationPractice Address56 Marino Ave, Port Washington, NY 11050-4208Phone(516) 398-4672FaxUnlisted FaxMailing LocationMailing Address56 Marino Ave, Port Washington, NY 11050-4208Phone(516) 398-4672FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense125888-01New York