Individual ProviderSamantha Rae DichiaraCounselorBehavioral Health & Social Service ProvidersPractice Address40 Spring St Ste 215, Watertown, MA 02472-3474(617) 299-9956(617) 638-8013PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Rae Dichiara 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 yesterday at 9:43 AM.Profile DetailsProvider ID1740710037Provider TypeIndividualFull NameDichiara, Samantha RaeTitleMs.GenderFemaleSole ProprietorNoEnumeration Date6/19/2017Last Updated6/3/2022Contact InformationPractice LocationPractice Address40 Spring St Ste 215, Watertown, MA 02472-3474Phone(617) 299-9956Fax(844) 238-9457Mailing LocationMailing Address85 E Newton St Ste 802, Boston, MA 02118-2841Phone(617) 638-8013Fax(617) 414-1975Provider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer