Daniel Fellows | White Plains, NY • PECOS Search

Daniel Fellows

Social Worker

Behavioral Health & Social Service Providers

180 S Broadway Ste 209, White Plains, NY 10605-1818

PECOS Enrollment

Based on the most recent information from CMS, provider Daniel Fellows 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
1902215205
Provider Type
Individual
Full Name
Fellows, Daniel
Credential
LCSW

Gender
Male
Sole Proprietor
No
Enumeration Date
8/12/2014
Last Updated
3/5/2024

Contact Information

Practice Location

180 S Broadway Ste 209, White Plains, NY 10605-1818

Unlisted Fax

Mailing Location

180 S Broadway Ste 209, White Plains, NY 10605-1818

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 082263 New York