Individual ProviderJason Thomas MinceySocial WorkerBehavioral Health & Social Service ProvidersPractice Address2 Old Mamaroneck Rd Apt 6i, White Plains, NY 10605-1723(914) 804-7841PECOS EnrollmentBased on the most recent information from CMS, provider Jason Thomas Mincey 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 ID1669063855Provider TypeIndividualFull NameMincey, Jason ThomasCredentialLCSWGenderMaleSole ProprietorYesEnumeration Date1/29/2021Last Updated1/29/2021Contact InformationPractice LocationPractice Address2 Old Mamaroneck Rd Apt 6i, White Plains, NY 10605-1723Phone(914) 804-7841FaxUnlisted FaxMailing LocationMailing Address2 Old Mamaroneck Rd Apt 6i, White Plains, NY 10605-1723Phone(914) 804-7841FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense087216New York