Individual ProviderMarissa LesathSocial WorkerBehavioral Health & Social Service ProvidersPractice Address10 Asylum St, Milford, MA 01757-2203(508) 469-3018(508) 469-3108PECOS EnrollmentBased on the most recent information from CMS, provider Marissa Lesath 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 10:04 AM.Profile DetailsProvider ID1043983927Provider TypeIndividualFull NameLesath, MarissaGenderFemaleSole ProprietorNoEnumeration Date7/27/2021Last Updated1/3/2024Contact InformationPractice LocationPractice Address10 Asylum St, Milford, MA 01757-2203Phone(508) 469-3018FaxUnlisted FaxMailing LocationMailing Address10 Asylum St, Milford, MA 01757-2203Phone(508) 469-3108FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense229959MassachusettsCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer