Individual ProviderHassanatu BahSocial WorkerBehavioral Health & Social Service ProvidersPractice Address375 Totten Pond Rd # 408, Waltham, MA 02451-2025(781) 905-8487(603) 889-6147PECOS EnrollmentBased on the most recent information from CMS, provider Hassanatu Bah 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 ID1619343969Provider TypeIndividualFull NameBah, HassanatuGenderFemaleSole ProprietorYesEnumeration Date8/20/2015Last Updated5/4/2023Contact InformationPractice LocationPractice Address375 Totten Pond Rd # 408, Waltham, MA 02451-2025Phone(781) 905-8487FaxUnlisted FaxMailing LocationMailing Address100 W Pearl St, Nashua, NH 03060-3343Phone(603) 889-6147FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense224566MassachusettsCode101YM0800XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerCode104100000XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID11002796ADescriptionMedicaidIssuerUnlistedMassachusetts