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Nicole Perez Elias

Social Worker

Behavioral Health & Social Service Providers

281 Winter St Ste 340, Suite 340, Waltham, MA 02451-8766

PECOS Enrollment

Based on the most recent information from CMS, provider Nicole Perez Elias 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
1114634870
Provider Type
Individual
Full Name
Perez Elias, Nicole
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/2/2022
Last Updated
11/2/2022

Contact Information

Practice Location

281 Winter St Ste 340, Suite 340, Waltham, MA 02451-8766

(617) 405-5735

Unlisted Fax

Mailing Location

281 Winter St Ste 340, Waltham, MA 02451-8766

(617) 405-5735

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 227013 Massachusetts

Nicole Perez Elias

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Wiser, Morissa Nili Sher

Sommer, Amy R

Keniston, Sarah

Hunter, Abigail Adams

Schanker, Inez Cheshire Buchko

Deitmer, Chandi Louise

Woodward, Emma

Mcnamara, Jill

Berte, Elizabeth M

Bah, Hassanatu