Individual ProviderGerald R SchildCounselorBehavioral Health & Social Service ProvidersPractice Address1901 Cleveland Ave, Suite B, Santa Rosa, CA 95401-4282(707) 576-0818PECOS EnrollmentBased on the most recent information from CMS, provider Gerald R Schild 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 ID1710247028Provider TypeIndividualFull NameSchild, Gerald RTitleMr.CredentialCAADEGenderMaleSole ProprietorNoEnumeration Date5/21/2012Last Updated5/21/2012Contact InformationPractice LocationPractice Address1901 Cleveland Ave, Suite B, Santa Rosa, CA 95401-4282Phone(707) 576-0818Fax(707) 576-7845Mailing LocationMailing Address1901 Cleveland Ave, Suite B, Santa Rosa, CA 95401-4282Phone(707) 576-0818Fax(707) 576-7845Provider TaxonomiesCodeDescriptionLicenseCode101YA0400XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicense2788ICalifornia