Individual ProviderCynthia M ConanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address205 N Monroe St, Media, PA 19063-3052(610) 891-1273PECOS EnrollmentBased on the most recent information from CMS, provider Cynthia M Conan 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 ID1851354575Provider TypeIndividualFull NameConan, Cynthia MCredentialMSW/LCSWGenderFemaleSole ProprietorYesEnumeration Date4/11/2006Last Updated11/30/2007Contact InformationPractice LocationPractice Address205 N Monroe St, Media, PA 19063-3052Phone(610) 891-1273FaxUnlisted FaxMailing LocationMailing AddressPO Box 185, 205 N. Monroe Street, Media, PA 19063-0185Phone(610) 891-1273FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseCW013428PennsylvaniaProvider IdentifiersIDDescriptionIssuerID2319071000DescriptionOtherIssuerBLUE CROSSPennsylvaniaID7829451DescriptionOtherIssuerAETNAPennsylvania