Individual ProviderJessica Marie Nuhibian BoisvertSocial WorkerBehavioral Health & Social Service ProvidersPractice Address55 Dimock St, Roxbury, MA 02119-1029(617) 442-8800PECOS EnrollmentBased on the most recent information from CMS, provider Jessica Marie Nuhibian Boisvert does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 12:07 PM.Profile DetailsProvider ID1609930171Provider TypeIndividualFull NameNuhibian Boisvert, Jessica MarieTitleMrs.CredentialMSW, LCSW, CEISGenderFemaleSole ProprietorNoEnumeration Date12/20/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address55 Dimock St, Roxbury, MA 02119-1029Phone(617) 442-8800FaxUnlisted FaxMailing LocationMailing Address15 Russell Rd, Dedham, MA 02026-3311PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense2032731Massachusetts