Individual ProviderStacey OchsSocial WorkerBehavioral Health & Social Service ProvidersPractice Address19 Greenridge Ave, Andrus Children'S Center Mental Health Division, White Plains, NY 10605-1201(914) 949-7680(914) 965-3700PECOS EnrollmentBased on the most recent information from CMS, provider Stacey Ochs is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1710938907Provider TypeIndividualFull NameOchs, StaceyCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date5/13/2006Last Updated4/26/2010Contact InformationPractice LocationPractice Address19 Greenridge Ave, Andrus Children'S Center Mental Health Division, White Plains, NY 10605-1201Phone(914) 949-7680Fax(914) 997-7942Mailing LocationMailing Address1156 N Broadway, Andrus Children'S Center, Yonkers, NY 10701-1108Phone(914) 965-3700Fax(914) 965-3883Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense076629-1New YorkProvider IdentifiersIDDescriptionIssuerID1285628552DescriptionOtherIssuerJDAM NPI #New YorkID00355940DescriptionOtherIssuerAGENCY MEDICAID #New YorkID070019DescriptionOtherIssuerNYS LMSW LICENSE #New York