Carly Chodosh | Media, PA • PECOS Search

Carly Chodosh

Social Worker

Behavioral Health & Social Service Providers

1215 W Baltimore Pike, Media, PA 19063-5540

(267) 519-0241 (215) 630-6709

PECOS Enrollment

Based on the most recent information from CMS, provider Carly Chodosh 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 2 days ago.

Profile Details

Provider ID
1679145585
Provider Type
Individual
Full Name
Chodosh, Carly
Gender
Female

Sole Proprietor
Yes
Enumeration Date
7/12/2021
Last Updated
12/1/2022

Contact Information

Practice Location

1215 W Baltimore Pike, Media, PA 19063-5540

Unlisted Fax

Mailing Location

7 Maple Ave, Bala Cynwyd, PA 19004-3120

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License CW023021 Pennsylvania