Individual ProviderCarrie WicksCounselorBehavioral Health & Social Service ProvidersPractice Address111 Harnden Ave, Watertown, MA 02472-3345(330) 328-5841PECOS EnrollmentBased on the most recent information from CMS, provider Carrie Wicks 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 ID1053138123Provider TypeIndividualFull NameWicks, CarrieGenderFemaleSole ProprietorYesEnumeration Date9/20/2024Last Updated9/20/2024Contact InformationPractice LocationPractice Address111 Harnden Ave, Watertown, MA 02472-3345Phone(330) 328-5841FaxUnlisted FaxMailing LocationMailing Address111 Harnden Ave, Watertown, MA 02472-3345PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLMHC10001478Massachusetts