Michelle A Siegel | Roxbury, MA • PECOS Search

Michelle A Siegel

Social Worker

Behavioral Health & Social Service Providers

1800 Columbus Ave, Roxbury, MA 02119-1042

PECOS Enrollment

Based on the most recent information from CMS, provider Michelle A Siegel 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
1598825622
Provider Type
Individual
Full Name
Siegel, Michelle A
Title
Miss
Credential
LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
12/11/2006
Last Updated
7/8/2007

Contact Information

Practice Location

1800 Columbus Ave, Roxbury, MA 02119-1042

(617) 442-6762

Mailing Location

50 Larch St, Brighton, MA 02135-3023

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 214103 Massachusetts