Individual ProviderShameka GregorySocial WorkerBehavioral Health & Social Service ProvidersPractice Address520 Dudley St, Roxbury, MA 02119(617) 917-4149PECOS EnrollmentBased on the most recent information from CMS, provider Shameka Gregory 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 ID1477040756Provider TypeIndividualFull NameGregory, ShamekaCredentialLICSWGenderFemaleSole ProprietorNoEnumeration Date4/22/2018Last Updated8/17/2018Contact InformationPractice LocationPractice Address520 Dudley St, Roxbury, MA 02119Phone(617) 917-4149FaxUnlisted FaxMailing LocationMailing AddressPO Box 392016, Cambridge, MA 02139-0036PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense120804Massachusetts