Patricia Ann Roche | Waltham, MA • PECOS Search

Patricia Ann Roche

Social Worker

Behavioral Health & Social Service Providers

776 Main St Unit 540542, Waltham, MA 02451-0619

PECOS Enrollment

Based on the most recent information from CMS, provider Patricia Ann Roche 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
1912184862
Provider Type
Individual
Full Name
Roche, Patricia Ann
Credential
LICSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
1/23/2008
Last Updated
7/6/2021

Contact Information

Practice Location

776 Main St Unit 540542, Waltham, MA 02451-0619

(781) 899-4001

Mailing Location

PO Box 540542, Waltham, MA 02454-0542

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 113045 Massachusetts