Marcia Lynn Gupta | Roxbury, MA • PECOS Search

Marcia Lynn Gupta

Social Worker

Behavioral Health & Social Service Providers

55 Dimock St, Roxbury, MA 02119-1029

PECOS Enrollment

Based on the most recent information from CMS, provider Marcia Lynn Gupta does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records today at 12:07 PM.

Profile Details

Provider ID
1740622760
Provider Type
Individual
Full Name
Gupta, Marcia Lynn
Credential
LICSW, EDM

Gender
Female
Sole Proprietor
No
Enumeration Date
7/18/2013
Last Updated
6/24/2016

Contact Information

Practice Location

55 Dimock St, Roxbury, MA 02119-1029

Unlisted Fax

Mailing Location

55 Dimock St, Roxbury, MA 02119-1029

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 119557 Massachusetts