Individual ProviderStephanie NoriegaSocial WorkerBehavioral Health & Social Service ProvidersPractice Address3081 Teagarden St, San Leandro, CA 94577-5720(510) 347-4620PECOS EnrollmentBased on the most recent information from CMS, provider Stephanie Noriega 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 3 days ago.Profile DetailsProvider ID1659743417Provider TypeIndividualFull NameNoriega, StephanieTitleMs.CredentialMSWGenderFemaleSole ProprietorYesEnumeration Date10/20/2015Last Updated11/13/2015Contact InformationPractice LocationPractice Address3081 Teagarden St, San Leandro, CA 94577-5720Phone(510) 347-4620FaxUnlisted FaxMailing LocationMailing Address3081 Teagarden St, San Leandro, CA 94577-5720Phone(510) 347-4620FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer