Jody O Gastfriend | Waltham, MA • PECOS Search

Jody O Gastfriend

Social Worker

Behavioral Health & Social Service Providers

77 4th Ave, Waltham, MA 02451-7559

(781) 642-5940 (617) 244-4465

PECOS Enrollment

Based on the most recent information from CMS, provider Jody O Gastfriend 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
1518442870
Provider Type
Individual
Full Name
Gastfriend, Jody O
Title
Ms.
Credential
LICSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
10/2/2018
Last Updated
10/2/2018

Contact Information

Practice Location

77 4th Ave, Waltham, MA 02451-7559

Unlisted Fax

Mailing Location

30 Orient Ave, Newton, MA 02459-1426

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 106623 Massachusetts