Individual ProviderCordiaro WittySocial WorkerBehavioral Health & Social Service ProvidersPractice Address800 Zorn Ave, Louisville, KY 40206-1433(502) 287-4000PECOS EnrollmentBased on the most recent information from CMS, provider Cordiaro Witty 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 yesterday at 9:43 AM.Profile DetailsProvider ID1851677868Provider TypeIndividualFull NameWitty, CordiaroTitleMr.CredentialLCSWGenderMaleSole ProprietorYesEnumeration Date10/24/2011Last Updated3/16/2017Contact InformationPractice LocationPractice Address800 Zorn Ave, Louisville, KY 40206-1433Phone(502) 287-4000FaxUnlisted FaxMailing LocationMailing Address800 Zorn Ave, Louisville, KY 40206-1433Phone(502) 287-4000FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense4047KentuckyCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense34006794AIndiana