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Kimberly Sue Maffei

Social Worker

Behavioral Health & Social Service Providers

2020 E Grand Ave Ste 409, Laramie, WY 82070-4383

PECOS Enrollment

This provider is enrolled in PECOS as KIMBERLY MAFFEI.

Based on the most recent information from CMS, provider Kimberly Sue Maffei 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 yesterday at 11:54 AM.

Profile Details

Provider ID
1841687233
Provider Type
Individual
Full Name
Maffei, Kimberly Sue
Credential
MSW, LCSW

Gender
Female
Sole Proprietor
No
Enumeration Date
4/23/2015
Last Updated
12/1/2021

Contact Information

Practice Location

2020 E Grand Ave Ste 409, Laramie, WY 82070-4383

(307) 399-0435

Unlisted Fax

Mailing Location

911 Sanders Dr, Laramie, WY 82070-4650

(307) 399-0435

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License LCSW-1114 Wyoming

Kimberly Sue Maffei

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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