Timothy William Leahy | Waltham, MA • PECOS Search

Timothy William Leahy

Social Worker

Behavioral Health & Social Service Providers

284 Bacon St, Waltham, MA 02451-7521

PECOS Enrollment

Based on the most recent information from CMS, provider Timothy William Leahy 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 10:04 AM.

Profile Details

Provider ID
1003086265
Provider Type
Individual
Full Name
Leahy, Timothy William
Title
Mr.
Credential
L.I.C.S.W

Gender
Male
Sole Proprietor
Yes
Enumeration Date
3/4/2008
Last Updated
3/4/2008

Contact Information

Practice Location

284 Bacon St, Waltham, MA 02451-7521

Unlisted Fax

Mailing Location

284 Bacon St, Waltham, MA 02451-7521

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 1024926 Massachusetts