Individual ProviderAkane KominamiSocial WorkerBehavioral Health & Social Service ProvidersPractice Address75 Amory St, Boston, MA 02119-1051(857) 399-1920PECOS EnrollmentBased on the most recent information from CMS, provider Akane Kominami 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 12:58 PM.Profile DetailsProvider ID1881122786Provider TypeIndividualFull NameKominami, AkaneCredentialLICSWGenderFemaleSole ProprietorNoEnumeration Date5/23/2017Last Updated7/21/2022Contact InformationPractice LocationPractice Address75 Amory St, Boston, MA 02119-1051Phone(857) 399-1920FaxUnlisted FaxMailing LocationMailing Address75 Amory Street, Garden Level, Boston, MA 02119Phone(857) 399-1920FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense119276Massachusetts