Individual ProviderRachel Alexandra LongerSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1167 W Baltimore Pike # 132, Media, PA 19063-5127(609) 284-9702PECOS EnrollmentBased on the most recent information from CMS, provider Rachel Alexandra Longer 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 ID1720639339Provider TypeIndividualFull NameLonger, Rachel AlexandraCredentialMSS, LCSW, CET IIGenderFemaleSole ProprietorYesEnumeration Date9/25/2019Last Updated4/17/2023Contact InformationPractice LocationPractice Address1167 W Baltimore Pike # 132, Media, PA 19063-5127Phone(609) 284-9702FaxUnlisted FaxMailing LocationMailing Address444 W Baltimore Ave Apt 414, Media, PA 19063-3853Phone(609) 284-9702FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCW022298PennsylvaniaCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseSW136291Pennsylvania