Stephanie Mae Wensink | Watertown, MA • PECOS Search

Stephanie Mae Wensink

Counselor

Behavioral Health & Social Service Providers

3 Repton Cir Unit 3306, Watertown, MA 02472-2444

PECOS Enrollment

Based on the most recent information from CMS, provider Stephanie Mae Wensink 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 2 days ago.

Profile Details

Provider ID
1285283911
Provider Type
Individual
Full Name
Wensink, Stephanie Mae
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
9/5/2019
Last Updated
9/5/2019

Contact Information

Practice Location

3 Repton Cir Unit 3306, Watertown, MA 02472-2444

Unlisted Fax

Mailing Location

3 Repton Cir Unit 3306, Watertown, MA 02472-2444

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YM0800X Primary	Description Counselor Behavioral Health & Social Service Providers	License 224919 Massachusetts