Individual ProviderSusan H SporlSocial WorkerBehavioral Health & Social Service ProvidersPractice Address3019 Judson St, Suite C, Gig Harbor, WA 98335-5143(253) 851-9018PECOS EnrollmentBased on the most recent information from CMS, provider Susan H Sporl 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 34 days ago.Profile DetailsProvider ID1992820500Provider TypeIndividualFull NameSporl, Susan HCredentialMSWGenderFemaleSole ProprietorYesEnumeration Date3/20/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address3019 Judson St, Suite C, Gig Harbor, WA 98335-5143Phone(253) 851-9018Fax(253) 851-3461Mailing LocationMailing AddressPO Box 1546, Gig Harbor, WA 98335-3546Phone(253) 851-9018Fax(253) 851-3461Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLW00006111Washington