Individual ProviderTanya Demyer McleanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address8 Notre Dame St, Roxbury, MA 02119-1231(617) 409-5412PECOS EnrollmentBased on the most recent information from CMS, provider Tanya Demyer Mclean 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 ID1750881900Provider TypeIndividualFull NameMclean, Tanya DemyerCredentialLICSWGenderFemaleSole ProprietorNoEnumeration Date2/14/2018Last Updated2/14/2018Contact InformationPractice LocationPractice Address8 Notre Dame St, Roxbury, MA 02119-1231Phone(617) 409-5412FaxUnlisted FaxMailing LocationMailing Address8 Notre Dame St, Roxbury, MA 02119-1231Phone(617) 409-5412Fax(617) 427-6252Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense120361Massachusetts