Individual ProviderDavid MoranSocial WorkerBehavioral Health & Social Service ProvidersPractice Address200 N Monroe St, Media, PA 19063-29081610357360(610) 357-3609PECOS EnrollmentBased on the most recent information from CMS, provider David Moran 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 ID1750435616Provider TypeIndividualFull NameMoran, DavidCredentialLCSWGenderMaleSole ProprietorYesEnumeration Date1/22/2007Last Updated9/1/2023Contact InformationPractice LocationPractice Address200 N Monroe St, Media, PA 19063-2908Phone1610357360FaxUnlisted FaxMailing LocationMailing Address803 Pritchard Pl, Newtown Square, PA 19073-3035Phone(610) 357-3609FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCS014767Pennsylvania