Individual ProviderPhyllis Roslyn GreenspanSocial WorkerBehavioral Health & Social Service ProvidersPractice Address740 Main St, Suite 105, Waltham, MA 02451-0607(781) 391-7154PECOS EnrollmentBased on the most recent information from CMS, provider Phyllis Roslyn Greenspan 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 ID1285774018Provider TypeIndividualFull NameGreenspan, Phyllis RoslynCredentialMSWGenderFemaleSole ProprietorYesEnumeration Date2/8/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address740 Main St, Suite 105, Waltham, MA 02451-0607Phone(781) 391-7154FaxUnlisted FaxMailing LocationMailing Address740 Main St, Suite 105, Waltham, MA 02451-0607Phone(781) 391-7154FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense104973Massachusetts