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Elaine Lebel Licsw

Social Worker

Behavioral Health & Social Service Providers

PECOS Enrollment

This provider is enrolled in PECOS as ELAINE LEBEL.

Based on the most recent information from CMS, provider Elaine Lebel Licsw 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
1770121634
Provider Type
Individual
Full Name
Lebel Licsw, Elaine
Gender
Female

Sole Proprietor
No
Enumeration Date
12/11/2019
Last Updated
2/2/2026

Contact Information

Practice Location

45 Dimock St, Roxbury, MA 02119-1208

(617) 442-8800

(617) 442-4088

Mailing Location

55 Dimock St, Roxbury, MA 02119-1029

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 127630 Massachusetts
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License 226687 Massachusetts
Code 1041C0700X	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer

Elaine Lebel Licsw

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Code

Description

License

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Alexander, Kristin

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Kamara, Abou Baakkaarr

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Roche, Katherine Ann

Falotico, Laura