Louise Siegel | Port Washington, NY • PECOS Search

Louise Siegel

Social Worker

Behavioral Health & Social Service Providers

73 Carlton Ave Apt D53, Port Washington, NY 11050-3549

PECOS Enrollment

Based on the most recent information from CMS, provider Louise Siegel does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1871676239
Provider Type
Individual
Full Name
Siegel, Louise
Title
Ms.
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/21/2006
Last Updated
4/2/2013

Contact Information

Practice Location

73 Carlton Ave Apt D53, Port Washington, NY 11050-3549

Unlisted Fax

Mailing Location

73 Carlton Ave Apt D53, Port Washington, NY 11050-3549

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License R016337-1 New York