OrganizationNicole Brill Lcsw-RSocial WorkerBehavioral Health & Social Service ProvidersPractice Address47 Essex Ct, Port Washington, NY 11050-4222(516) 382-3003PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Brill Lcsw-R 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 ID1609241702Provider TypeOrganizationFull NameNicole Brill Lcsw-RSubpartNoEnumeration Date12/1/2015Last Updated12/1/2015Contact InformationPractice LocationPractice Address47 Essex Ct, Port Washington, NY 11050-4222Phone(516) 382-3003FaxUnlisted FaxMailing LocationMailing Address47 Essex Ct, Port Washington, NY 11050-4222Phone(516) 382-3003FaxUnlisted FaxAuthorized OfficialNameBrill, Nicole Edith (Psychotherapist)Phone(516) 382-3003Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense034481New York