Individual ProviderKim BernsteinSocial WorkerBehavioral Health & Social Service ProvidersPractice Address375 Totten Pond Rd Ste 100, Waltham, MA 02451-2026(781) 419-0380PECOS EnrollmentBased on the most recent information from CMS, provider Kim Bernstein does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1740764877Provider TypeIndividualFull NameBernstein, KimCredentialMSW, LICSWGenderFemaleSole ProprietorYesEnumeration Date9/25/2018Last Updated9/25/2018Contact InformationPractice LocationPractice Address375 Totten Pond Rd Ste 100, Waltham, MA 02451-2026Phone(781) 419-0380FaxUnlisted FaxMailing LocationMailing Address375 Totten Pond Rd Ste 100, Waltham, MA 02451-2026PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense110514MassachusettsProvider IdentifiersIDDescriptionIssuerIDS89738323DescriptionOtherIssuerDRIVERS LICENSEMassachusetts