Individual ProviderVelanda SamuelSocial WorkerBehavioral Health & Social Service ProvidersPractice Address360 Bloomfield Ave, Ste 301, Windsor, CT 06095-2700(860) 597-7504PECOS EnrollmentBased on the most recent information from CMS, provider Velanda Samuel is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 9:43 AM.Profile DetailsProvider ID1588055818Provider TypeIndividualFull NameSamuel, VelandaCredentialMSW,LCSWGenderFemaleSole ProprietorYesEnumeration Date2/9/2015Last Updated2/28/2017Contact InformationPractice LocationPractice Address360 Bloomfield Ave, Ste 301, Windsor, CT 06095-2700Phone(860) 597-7504FaxUnlisted FaxMailing LocationMailing Address72 Briarwood Dr, Windsor, CT 06095-3937Phone(860) 597-7504FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer