Individual ProviderSandra Madeleine EmmanouilidesSocial WorkerBehavioral Health & Social Service ProvidersPractice Address36 E Front St, Media, PA 19063-2936(215) 681-1813PECOS EnrollmentBased on the most recent information from CMS, provider Sandra Madeleine Emmanouilides 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 ID1821668591Provider TypeIndividualFull NameEmmanouilides, Sandra MadeleineCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date6/25/2021Last Updated8/12/2025Contact InformationPractice LocationPractice Address36 E Front St, Media, PA 19063-2936Phone(215) 681-1813FaxUnlisted FaxMailing LocationMailing Address10 E Sylvan Ave, Rutledge, PA 19070-2123Phone(215) 681-1813FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCW025771Pennsylvania