Individual ProviderAndrea NelsonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1615 75th St SW, Suite 210, Everett, WA 98203-6293(425) 261-4800PECOS EnrollmentBased on the most recent information from CMS, provider Andrea Nelson 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 3 days ago.Profile DetailsProvider ID1831955673Provider TypeIndividualFull NameNelson, AndreaGenderFemaleSole ProprietorNoEnumeration Date2/27/2024Last Updated2/27/2024Contact InformationPractice LocationPractice Address1615 75th St SW, Suite 210, Everett, WA 98203-6293Phone(425) 261-4800FaxUnlisted FaxMailing LocationMailing Address1615 75th St SW, Suite 210, Everett, WA 98203-6293Phone(425) 261-4800FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLW60161095Washington