Jason Daniel Guilmain | Louisville, KY • PECOS Search

Jason Daniel Guilmain

Social Worker

Behavioral Health & Social Service Providers

800 Zorn Ave, Louisville, KY 40206-1433

(502) 287-4000 (502) 592-3345

PECOS Enrollment

Based on the most recent information from CMS, provider Jason Daniel Guilmain 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 yesterday at 9:43 AM.

Profile Details

Provider ID
1902675721
Provider Type
Individual
Full Name
Guilmain, Jason Daniel
Credential
CSW

Gender
Male
Sole Proprietor
No
Enumeration Date
12/20/2023
Last Updated
12/20/2023

Contact Information

Practice Location

800 Zorn Ave, Louisville, KY 40206-1433

Unlisted Fax

Mailing Location

2624 Taylorsville Rd, Louisville, KY 40205-2336

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 258130 Kentucky