Individual ProviderEthel Jean MasseySocial WorkerBehavioral Health & Social Service ProvidersPractice Address1707 Lockett Pl, Memphis, TN 38104-3923(901) 596-7645PECOS EnrollmentBased on the most recent information from CMS, provider Ethel Jean Massey 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 2 days ago.Profile DetailsProvider ID1699929224Provider TypeIndividualFull NameMassey, Ethel JeanTitleMs.GenderFemaleSole ProprietorYesEnumeration Date11/10/2008Last Updated11/10/2008Contact InformationPractice LocationPractice Address1707 Lockett Pl, Memphis, TN 38104-3923Phone(901) 596-7645Fax(901) 850-5725Mailing LocationMailing Address1707 Lockett Pl, Memphis, TN 38104-3923Phone(901) 596-7645Fax(901) 850-5725Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseIP000463Tennessee