Individual ProviderKimberley HurdleSocial WorkerBehavioral Health & Social Service ProvidersPractice Address520 Dudley St, Roxbury, MA 02119-2769(617) 989-9499PECOS EnrollmentBased on the most recent information from CMS, provider Kimberley Hurdle 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 today at 12:07 PM.Profile DetailsProvider ID1437709474Provider TypeIndividualFull NameHurdle, KimberleyCredentialMSW, LCSWGenderFemaleSole ProprietorNoEnumeration Date9/11/2019Last Updated9/11/2019Contact InformationPractice LocationPractice Address520 Dudley St, Roxbury, MA 02119-2769Phone(617) 989-9499FaxUnlisted FaxMailing LocationMailing Address520 Dudley St, Roxbury, MA 02119-2769Phone(617) 989-9499FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense000225225Massachusetts