Individual ProviderShannon O'BrienSocial WorkerBehavioral Health & Social Service ProvidersPractice Address55 Dimock St, Roxbury, MA 02119-1029(617) 442-8800PECOS EnrollmentBased on the most recent information from CMS, provider Shannon O'Brien 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 ID1588816938Provider TypeIndividualFull NameO'Brien, ShannonCredentialMSW, LICSWGenderFemaleSole ProprietorNoEnumeration Date10/16/2008Last Updated7/29/2011Contact InformationPractice LocationPractice Address55 Dimock St, Roxbury, MA 02119-1029Phone(617) 442-8800Fax(617) 442-1702Mailing LocationMailing Address55 Dimock St, Roxbury, MA 02119-1029Phone(617) 442-8800Fax(617) 442-1702Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense116388Massachusetts