Individual ProviderJohanna Daryl SagarinPsychologistBehavioral Health & Social Service ProvidersPractice Address20 Cedar Street, Childrens Friend, Worcester, MA 01609(508) 753-5425PECOS EnrollmentThis provider is enrolled in PECOS as JOHANNA SAGARIN.Based on the most recent information from CMS, provider Johanna Daryl Sagarin is legally eligible to order and refer claims for DME services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1811184138Provider TypeIndividualFull NameSagarin, Johanna DarylCredentialPHDGenderFemaleSole ProprietorYesEnumeration Date10/1/2007Last Updated10/1/2007Contact InformationPractice LocationPractice Address20 Cedar Street, Childrens Friend, Worcester, MA 01609Phone(508) 753-5425Fax(508) 753-9625Mailing LocationMailing Address20 Cedar Street, Childrens Friend, Worcester, MA 01609Phone(508) 753-5425Fax(508) 753-9625Provider TaxonomiesCodeDescriptionLicenseCode103TC0700XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicense7562Massachusetts