Individual ProviderMara HyattSocial WorkerBehavioral Health & Social Service ProvidersPractice Address738 Main St, #373, Waltham, MA 02451(617) 744-9297PECOS EnrollmentBased on the most recent information from CMS, provider Mara Hyatt 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 ID1588288716Provider TypeIndividualFull NameHyatt, MaraCredentialLICSWGenderFemaleSole ProprietorYesEnumeration Date6/3/2020Last Updated8/31/2023Contact InformationPractice LocationPractice Address738 Main St, #373, Waltham, MA 02451Phone(617) 744-9297FaxUnlisted FaxMailing LocationMailing Address738 Main St, #373, Waltham, MA 02451Phone(617) 744-9297FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense122241Massachusetts