Look up the most recent NPI and PECOS records

Emma Banevicius

Social Worker

Behavioral Health & Social Service Providers

17 Greenville St, Roxbury, MA 02119-2315

PECOS Enrollment

Based on the most recent information from CMS, provider Emma Banevicius 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
1982119657
Provider Type
Individual
Full Name
Banevicius, Emma
Gender
Female

Sole Proprietor
No
Enumeration Date
12/4/2017
Last Updated
1/11/2024

Contact Information

Practice Location

17 Greenville St, Roxbury, MA 02119-2315

(617) 587-0730

Unlisted Fax

Mailing Location

547 Broadway Apt 1, Somerville, MA 02145-2526

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 230273 Massachusetts
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License Unlisted Issuer

Emma Banevicius

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Bedney, Jessica

Arias, Karina

Offenberg, Amy R

Tang, Linda

Hurdle, Kimberley

James, Rochelle

Rizzo, Claudia

Dargon-Hart, Susan Ellen

Troup, Ebonee

Gregory, Shameka