Theresa Lowe-Wilson | Staten Island, NY • PECOS Search

Theresa Lowe-Wilson

Social Worker

Behavioral Health & Social Service Providers

475 Bay St Apt 1230, Staten Island, NY 10304-3257

PECOS Enrollment

Based on the most recent information from CMS, provider Theresa Lowe-Wilson 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 34 days ago.

Profile Details

Provider ID
1942188750
Provider Type
Individual
Full Name
Lowe-Wilson, Theresa
Gender
Female

Sole Proprietor
No
Enumeration Date
8/21/2025
Last Updated
8/28/2025

Contact Information

Practice Location

475 Bay St Apt 1230, Staten Island, NY 10304-3257

Unlisted Fax

Mailing Location

475 Bay St, Staten Island, NY 10304-3228

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 104100000X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 122259-01 New York