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Jacqueline Maher

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as JACQUELINE FICKES.

Based on the most recent information from CMS, provider Jacqueline Maher 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
1518340785
Provider Type
Individual
Full Name
Maher, Jacqueline
Credential
LICSW

Gender
Female
Sole Proprietor
No
Enumeration Date
7/7/2015
Last Updated
2/7/2023

Contact Information

Practice Location

45 Dimock St, Roxbury, MA 02119-1208

(617) 442-8800

(617) 541-8472

Mailing Location

12 Tyler St, Somerville, MA 02143-3241

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 123918 Massachusetts

Provider Identifiers

ID	Description	Issuer
ID 110076992A	Description Medicaid	Issuer Unlisted Massachusetts

Jacqueline Maher

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Cinquegrana, Grace

Alexander, Kristin

Maddex, Michelle Laura

Papaleo, Liana Angele

Padberg Hill, Robine P

Lebel Licsw, Elaine

Hughes, Salesia T

Yuksekkaya, Seyhmus

Mitchum, Nia-Sue

Bedney, Jessica