Individual ProviderGertrude Katrina ShawSocial WorkerBehavioral Health & Social Service ProvidersPractice Address520 Dudley St, Children'S Services Of Roxbury, Roxbury, MA 02119-2769(617) 989-9499(617) 364-4667PECOS EnrollmentBased on the most recent information from CMS, provider Gertrude Katrina Shaw 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 yesterday at 12:58 PM.Profile DetailsProvider ID1457619470Provider TypeIndividualFull NameShaw, Gertrude KatrinaCredentialMSWGenderFemaleSole ProprietorYesEnumeration Date4/27/2012Last Updated4/27/2012Contact InformationPractice LocationPractice Address520 Dudley St, Children'S Services Of Roxbury, Roxbury, MA 02119-2769Phone(617) 989-9499FaxUnlisted FaxMailing LocationMailing Address31 Harrison St, Unit E, Roslindale, MA 02131-2159Phone(617) 364-4667FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer