Individual ProviderSeth A WenzelSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1030 Jefferson Ave, Memphis, TN 38104-2127(901) 523-8990PECOS EnrollmentBased on the most recent information from CMS, provider Seth A Wenzel 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 ID1740526532Provider TypeIndividualFull NameWenzel, Seth ACredentialLCSWGenderMaleSole ProprietorNoEnumeration Date12/24/2012Last Updated12/24/2012Contact InformationPractice LocationPractice Address1030 Jefferson Ave, Memphis, TN 38104-2127Phone(901) 523-8990FaxUnlisted FaxMailing LocationMailing Address3793 Fern Hollow Rd, Apt. 206, Memphis, TN 38125-6576PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense149.014366Illinois