Individual ProviderJoanna KatsosSocial WorkerBehavioral Health & Social Service ProvidersPractice Address45 Dimock St, Boston, MA 02119-1208(617) 442-8800(508) 341-4097PECOS EnrollmentBased on the most recent information from CMS, provider Joanna Katsos is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 12:07 PM.Profile DetailsProvider ID1255705661Provider TypeIndividualFull NameKatsos, JoannaCredentialLICSWGenderFemaleSole ProprietorNoEnumeration Date11/23/2015Last Updated4/22/2021Contact InformationPractice LocationPractice Address45 Dimock St, Boston, MA 02119-1208Phone(617) 442-8800FaxUnlisted FaxMailing LocationMailing Address16 Noreen Rd, Mansfield, MA 02048-3705Phone(508) 341-4097FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense123334Massachusetts