Individual ProviderSean PenchinarSocial WorkerBehavioral Health & Social Service ProvidersPractice Address55 Dimock St, Goddard, Roxbury, MA 02119-1029(617) 442-8800PECOS EnrollmentBased on the most recent information from CMS, provider Sean Penchinar 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 today at 12:07 PM.Profile DetailsProvider ID1215109681Provider TypeIndividualFull NamePenchinar, SeanGenderMaleSole ProprietorNoEnumeration Date3/26/2008Last Updated3/26/2008Contact InformationPractice LocationPractice Address55 Dimock St, Goddard, Roxbury, MA 02119-1029Phone(617) 442-8800FaxUnlisted FaxMailing LocationMailing Address15 Germania St, #3, Jamaica Plain, MA 02130-2342PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer