Individual ProviderSusan Gomberg KaufmanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address2 Old Mamaroneck Rd, White Plains, NY 10605-1723(914) 948-4778PECOS EnrollmentBased on the most recent information from CMS, provider Susan Gomberg Kaufman 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 ID1851671663Provider TypeIndividualFull NameKaufman, Susan GombergTitleMrs.CredentialLCSW, LMSWGenderFemaleSole ProprietorYesEnumeration Date8/24/2011Last Updated8/24/2011Contact InformationPractice LocationPractice Address2 Old Mamaroneck Rd, White Plains, NY 10605-1723Phone(914) 948-4778FaxUnlisted FaxMailing LocationMailing Address2 Old Mamaroneck Rd, White Plains, NY 10605-1723Phone(914) 948-4778FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense076873New YorkCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense043379New York