Individual ProviderSusan MarderSocial WorkerBehavioral Health & Social Service ProvidersPractice Address23 Old Mamaroneck Rd, White Plains, NY 10605-2061(914) 420-9050(914) 288-9235PECOS EnrollmentBased on the most recent information from CMS, provider Susan Marder 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 ID1710327853Provider TypeIndividualFull NameMarder, SusanCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date7/3/2013Last Updated7/3/2013Contact InformationPractice LocationPractice Address23 Old Mamaroneck Rd, White Plains, NY 10605-2061Phone(914) 420-9050FaxUnlisted FaxMailing LocationMailing Address54 Greenridge Ave, White Plains, NY 10605-1620Phone(914) 288-9235FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense080554New York