Look up the most recent NPI and PECOS records

Bonnie Brody

Social Worker

Behavioral Health & Social Service Providers

206 Buttonwood Ave, Cortlandt Manor, NY 10567-4912

PECOS Enrollment

Based on the most recent information from CMS, provider Bonnie Brody does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 3 days ago.

Profile Details

Provider ID
1598901688
Provider Type
Individual
Full Name
Brody, Bonnie
Title
Ms.
Credential
LMSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/19/2008
Last Updated
12/19/2008

Contact Information

Practice Location

206 Buttonwood Ave, Cortlandt Manor, NY 10567-4912

(914) 736-0692

Unlisted Fax

Mailing Location

206 Buttonwood Ave, Cortlandt Manor, NY 10567-4912

(914) 736-0692

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 0538381 New York

Provider Identifiers

ID	Description	Issuer
ID 0538381	Description Other	Issuer SOCIAL WORK LICENSE New York

Bonnie Brody

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Porter, Jody

Anson, Jessica

Nevers, Roxanne

Cherciu-Stancov, Alexis

Reyes Levine, Celina

Schultz, Nikki

Parks Whitman, Janice M

Barzallo, Stefany Tatiana

Mendoza, Ada

Rns Helping Hands Llc