Teresa Janette Ricker | Waltham, MA • PECOS Search

Teresa Janette Ricker

Social Worker

Behavioral Health & Social Service Providers

1430 Main St, Waltham, MA 02451-1623

PECOS Enrollment

Based on the most recent information from CMS, provider Teresa Janette Ricker 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
1346790482
Provider Type
Individual
Full Name
Ricker, Teresa Janette
Title
Ms.
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
10/13/2016
Last Updated
10/13/2016

Contact Information

Practice Location

1430 Main St, Waltham, MA 02451-1623

Unlisted Fax

Mailing Location

1430 Main St, Waltham, MA 02451-1623

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 222187 Massachusetts