Individual ProviderGrace CimineraSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1822 Kimberwick Rd, Media, PA 19063-1944(610) 299-1646PECOS EnrollmentBased on the most recent information from CMS, provider Grace Ciminera 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 ID1790404358Provider TypeIndividualFull NameCiminera, GraceCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date8/25/2022Last Updated8/25/2022Contact InformationPractice LocationPractice Address1822 Kimberwick Rd, Media, PA 19063-1944Phone(610) 299-1646FaxUnlisted FaxMailing LocationMailing Address1822 Kimberwick Rd, Media, PA 19063-1944Phone(610) 299-1646FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCW022685Pennsylvania