Individual ProviderCecilia DouglasSocial WorkerBehavioral Health & Social Service ProvidersPractice Address45 Dimock St, Roxbury, MA 02119-1208(617) 442-88001617442880PECOS EnrollmentBased on the most recent information from CMS, provider Cecilia Douglas 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 ID1457827990Provider TypeIndividualFull NameDouglas, CeciliaCredentialLICSWGenderFemaleSole ProprietorNoEnumeration Date10/23/2018Last Updated4/5/2021Contact InformationPractice LocationPractice Address45 Dimock St, Roxbury, MA 02119-1208Phone(617) 442-8800Fax(617) 541-8472Mailing LocationMailing Address55 Dimock St, Roxbury, MA 02119-1029Phone1617442880FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense123578Massachusetts