Individual ProviderMarisa Medeiros DasilvaCounselorBehavioral Health & Social Service ProvidersPractice Address520 Dudley St, Roxbury, MA 02119-2769(978) 505-6286(617) 445-6655PECOS EnrollmentBased on the most recent information from CMS, provider Marisa Medeiros Dasilva 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 2 days ago.Profile DetailsProvider ID1003652199Provider TypeIndividualFull NameMedeiros Dasilva, MarisaCredentialMSWGenderFemaleSole ProprietorYesEnumeration Date7/8/2024Last Updated7/8/2024Contact InformationPractice LocationPractice Address520 Dudley St, Roxbury, MA 02119-2769Phone(978) 505-6286FaxUnlisted FaxMailing LocationMailing Address520 Dudley St, Roxbury, MA 02119-2769Phone(617) 445-6655FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer