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Kimberly B Bowles

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as KIMBERLY BOWLES.

Based on the most recent information from CMS, provider Kimberly B Bowles 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
1558509299
Provider Type
Individual
Full Name
Bowles, Kimberly B
Credential
LICSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/3/2009
Last Updated
1/27/2020

Contact Information

Practice Location

45 Dimock St, Roxbury, MA 02119-1208

(617) 442-8800

(617) 541-8472

Mailing Location

151 Mystic Ave, Suite 6, Medford, MA 02155-4632

(678) 139-6119

(781) 396-1439

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 116139 Massachusetts

Kimberly B Bowles

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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Terrass-Shah, Sitar

Orellana, Melannie

Haith, India

Gray, Jaclyn

Vanloan, Nakia Alisha

Benoit, Adzele

Nuhibian Boisvert, Jessica Marie

O'Neill, Tegan

Jones, Abigail