Jewell M Simmons | Roxbury, MA • PECOS Search

Jewell M Simmons

Social Worker

Behavioral Health & Social Service Providers

435 Warren St, Roxbury, MA 02119-1833

(617) 442-7400 (617) 970-9082

PECOS Enrollment

Based on the most recent information from CMS, provider Jewell M Simmons 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 today at 12:07 PM.

Profile Details

Provider ID
1487953329
Provider Type
Individual
Full Name
Simmons, Jewell M
Title
Ms.
Credential
LCSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
3/17/2011
Last Updated
3/17/2011

Contact Information

Practice Location

435 Warren St, Roxbury, MA 02119-1833

Unlisted Fax

Mailing Location

35 Elm St, Apt. 8, Foxboro, MA 02035-2516

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 213468 Massachusetts