Individual ProviderCindy WitkowSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2-8 Haven Avenue, Suite 207, Port Washington, NY 11050(929) 269-5790(917) 847-6235PECOS EnrollmentBased on the most recent information from CMS, provider Cindy Witkow 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 ID1740891050Provider TypeIndividualFull NameWitkow, CindyCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date8/11/2020Last Updated10/30/2025Contact InformationPractice LocationPractice Address2-8 Haven Avenue, Suite 207, Port Washington, NY 11050Phone(929) 269-5790FaxUnlisted FaxMailing LocationMailing Address95 Oakland Ave, Port Washington, NY 11050-1841Phone(917) 847-6235FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense097255New YorkCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense059061New YorkCode1041S0200XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense432502New York