Individual ProviderOlivia GerrishSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1642 Palmer Dr Apt 11, Laramie, WY 82070-8213(801) 663-0340PECOS EnrollmentBased on the most recent information from CMS, provider Olivia Gerrish 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 yesterday at 11:54 AM.Profile DetailsProvider ID1619506797Provider TypeIndividualFull NameGerrish, OliviaCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date4/2/2020Last Updated4/2/2020Contact InformationPractice LocationPractice Address1642 Palmer Dr Apt 11, Laramie, WY 82070-8213Phone(801) 663-0340FaxUnlisted FaxMailing LocationMailing Address1642 Palmer Dr Apt 11, Laramie, WY 82070-8213PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLCSW-1242WyomingProvider IdentifiersIDDescriptionIssuerIDLCSW-1242DescriptionOtherIssuerWYOMING MENTAL HEALTH LICENSING BOARDWyoming