Individual ProviderCassandra AmilcarCounselorBehavioral Health & Social Service ProvidersPractice Address520 Dudley St, Roxbury, MA 02119-2769(617) 989-9499PECOS EnrollmentBased on the most recent information from CMS, provider Cassandra Amilcar 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 ID1033587688Provider TypeIndividualFull NameAmilcar, CassandraGenderFemaleSole ProprietorNoEnumeration Date9/11/2015Last Updated9/11/2015Contact InformationPractice LocationPractice Address520 Dudley St, Roxbury, MA 02119-2769Phone(617) 989-9499FaxUnlisted FaxMailing LocationMailing Address520 Dudley St, Roxbury, MA 02119-2769PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer