Individual ProviderPatricia Killeen FouhySocial WorkerBehavioral Health & Social Service ProvidersPractice Address1430 Main St, Waltham, MA 02451-1623(781) 697-0425(978) 687-9937PECOS EnrollmentBased on the most recent information from CMS, provider Patricia Killeen Fouhy 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 ID1881194173Provider TypeIndividualFull NameFouhy, Patricia KilleenCredentialLICSWGenderFemaleSole ProprietorNoEnumeration Date2/13/2018Last Updated2/13/2018Contact InformationPractice LocationPractice Address1430 Main St, Waltham, MA 02451-1623Phone(781) 697-0425Fax(781) 419-6701Mailing LocationMailing Address71 Paddock Ln, North Andover, MA 01845-6314Phone(978) 687-9937FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense116772Massachusetts