Individual ProviderMatthew CipolloneCounselorBehavioral Health & Social Service ProvidersPractice Address75 N Beacon St Ste 2, Watertown, MA 02472-2671(617) 661-3991(781) 526-6913PECOS EnrollmentBased on the most recent information from CMS, provider Matthew Cipollone 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 2 days ago.Profile DetailsProvider ID1023809027Provider TypeIndividualFull NameCipollone, MatthewGenderMaleSole ProprietorNoEnumeration Date5/16/2025Last Updated5/16/2025Contact InformationPractice LocationPractice Address75 N Beacon St Ste 2, Watertown, MA 02472-2671Phone(617) 661-3991Fax(617) 661-7277Mailing LocationMailing Address77 Newbern Ave, Medford, MA 02155-6430Phone(781) 526-6913FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer