Individual ProviderJoanna M PackerSocial WorkerBehavioral Health & Social Service ProvidersPractice Address45 Dimock St, Roxbury, MA 02119-1208(617) 442-8800PECOS EnrollmentBased on the most recent information from CMS, provider Joanna M Packer 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 ID1831615897Provider TypeIndividualFull NamePacker, Joanna MCredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date8/21/2017Last Updated3/9/2020Contact InformationPractice LocationPractice Address45 Dimock St, Roxbury, MA 02119-1208Phone(617) 442-8800Fax(617) 541-8472Mailing LocationMailing Address55 Dimock Street, Roxbury, MA 02119Phone(617) 442-8800Fax(617) 442-4088Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense121804Massachusetts