Individual ProviderSusanne TraubSocial WorkerBehavioral Health & Social Service ProvidersPractice Address35 Beacon Drive, Port Washington, NY 11050(516) 883-3777PECOS EnrollmentBased on the most recent information from CMS, provider Susanne Traub 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 ID1801961008Provider TypeIndividualFull NameTraub, SusanneTitleMrs.CredentialLCSW MSWGenderFemaleSole ProprietorNoEnumeration Date11/22/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address35 Beacon Drive, Port Washington, NY 11050Phone(516) 883-3777Fax(516) 767-4574Mailing LocationMailing Address35 Beacon Drive, Port Washington, NY 11050Phone(516) 883-3777Fax(516) 767-4574Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicensePR010801New YorkProvider IdentifiersIDDescriptionIssuerID7404592DescriptionOtherIssuerGHINew YorkID7404592DescriptionOtherIssuerEMPIRE VAL OPTSNew York