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Faith Rose Sudbey

Social Worker

Behavioral Health & Social Service Providers

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

PECOS Enrollment

This provider is enrolled in PECOS as FAITH SUDBEY.

Based on the most recent information from CMS, provider Faith Rose Sudbey is legally eligible to order and refer claims for DME services only.

Part B
Medicare Part B
Not 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
1720541840
Provider Type
Individual
Full Name
Sudbey, Faith Rose
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/8/2019
Last Updated
11/19/2024

Contact Information

Practice Location

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

(781) 551-0999

Unlisted Fax

Mailing Location

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

(781) 551-0999

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License LCSW224588 Massachusetts
Code 175T00000X	Description Peer Specialist Other Service Providers	License Unlisted Issuer

Faith Rose Sudbey

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Miller, Janelle Anne

Perez Elias, Nicole

Shields, Morgan Amanda

Jeffery, Kathleen

Gardner, Diane

Schere, Naya Jewelle

Christin, Mary Teresa

Woodward, Emma

Ricker, Teresa Janette

Albeck, Simone J