Individual ProviderDelbert WoodhamSocial WorkerBehavioral Health & Social Service ProvidersPractice Address520 Dudley St, Roxbury, MA 02119-2769(617) 331-6191PECOS EnrollmentBased on the most recent information from CMS, provider Delbert Woodham 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 ID1447662218Provider TypeIndividualFull NameWoodham, DelbertGenderMaleSole ProprietorYesEnumeration Date5/28/2014Last Updated5/28/2014Contact InformationPractice LocationPractice Address520 Dudley St, Roxbury, MA 02119-2769Phone(617) 331-6191FaxUnlisted FaxMailing LocationMailing Address520 Dudley St, Roxbury, MA 02119-2769PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense1041C0700Massachusetts