Look up the most recent NPI and PECOS records

Shiva Kuczinski

Social Worker

Behavioral Health & Social Service Providers

17 Greenville St, Roxbury, MA 02119-2315

PECOS Enrollment

Based on the most recent information from CMS, provider Shiva Kuczinski is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 12:07 PM.

Profile Details

Provider ID
1518336338
Provider Type
Individual
Full Name
Kuczinski, Shiva
Gender
Female

Sole Proprietor
No
Enumeration Date
9/22/2015
Last Updated
9/22/2015

Contact Information

Practice Location

17 Greenville St, Roxbury, MA 02119-2315

(617) 783-8035

Unlisted Fax

Mailing Location

17 Greenville St, Roxbury, MA 02119-2315

(617) 783-8035

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License S59770214 Massachusetts

Shiva Kuczinski

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Bruce, Talia Mary

Correia, Ashley

Roche, Katherine Ann

Gupta, Marcia Lynn

Armajani, Kira

O'Brien, Shannon

Spivack, Allen Mark

Santos, Stephen

Banevicius, Emma

Conroy, Amanda Rae