Nicole D Asselta | Port Washington, NY • PECOS Search

Nicole D Asselta

Social Worker

Behavioral Health & Social Service Providers

19 Winthrop Rd, Port Washington, NY 11050-4418

PECOS Enrollment

Based on the most recent information from CMS, provider Nicole D Asselta does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1750702106
Provider Type
Individual
Full Name
Asselta, Nicole D
Title
Mrs.
Credential
L.C.S.W.

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/1/2014
Last Updated
1/1/2014

Contact Information

Practice Location

19 Winthrop Rd, Port Washington, NY 11050-4418

Unlisted Fax

Mailing Location

19 Winthrop Rd, Port Washington, NY 11050-4418

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License R061217-1 New York