Look up the most recent NPI and PECOS records

Kaylin Petracca

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

Based on the most recent information from CMS, provider Kaylin Petracca is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:04 AM.

Profile Details

Provider ID
1043755937
Provider Type
Individual
Full Name
Petracca, Kaylin
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
12/30/2016
Last Updated
12/14/2018

Contact Information

Practice Location

32 Hamilton Ave, Milford, MA 01757-1748

(508) 634-3420

Unlisted Fax

Mailing Location

32 Hamilton Ave, Milford, MA 01757-1748

(508) 634-3420

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 220593 Massachusetts

Kaylin Petracca

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Gills, Julie M

Sharpe, Priscilla Anne

Clowes, Joan M

Morgan, Marie Christo

Luetge, Oskar

Snyder, Courtney

Siraco, Gabrielle

Lea, Diana Marie

Marino, Jeanie

Brown, William Francis