Individual ProviderJanemarie HollywoodSocial WorkerBehavioral Health & Social Service ProvidersPractice Address11835 Fishing Point Dr Ste 202, Newport News, VA 23606-2585(757) 243-1033(516) 477-4171PECOS EnrollmentBased on the most recent information from CMS, provider Janemarie Hollywood 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 ID1831087923Provider TypeIndividualFull NameHollywood, JanemarieCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date6/26/2025Last Updated6/26/2025Contact InformationPractice LocationPractice Address11835 Fishing Point Dr Ste 202, Newport News, VA 23606-2585Phone(757) 243-1033FaxUnlisted FaxMailing LocationMailing Address5340 NW Elm Ave, Lawton, OK 73505-4622Phone(516) 477-4171FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense0904018651Virginia