Individual ProviderMorgan Amanda ShieldsSocial WorkerBehavioral Health & Social Service ProvidersPractice Address69 Hickory Dr Ste 2000, Waltham, MA 02451-1011(781) 353-5836PECOS EnrollmentBased on the most recent information from CMS, provider Morgan Amanda Shields 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 ID1396527149Provider TypeIndividualFull NameShields, Morgan AmandaGenderFemaleSole ProprietorNoEnumeration Date10/17/2023Last Updated10/17/2023Contact InformationPractice LocationPractice Address69 Hickory Dr Ste 2000, Waltham, MA 02451-1011Phone(781) 353-5836FaxUnlisted FaxMailing LocationMailing Address69 Hickory Dr Ste 2000, Waltham, MA 02451-1011PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense227551Massachusetts