Individual ProviderDanielle LubinSocial WorkerBehavioral Health & Social Service ProvidersPractice Address1430 Main St, Waltham, MA 02451-1623(781) 357-7094(617) 529-2097PECOS EnrollmentBased on the most recent information from CMS, provider Danielle Lubin 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 ID1770153405Provider TypeIndividualFull NameLubin, DanielleCredentialLCSWGenderFemaleSole ProprietorYesEnumeration Date6/25/2021Last Updated6/25/2021Contact InformationPractice LocationPractice Address1430 Main St, Waltham, MA 02451-1623Phone(781) 357-7094FaxUnlisted FaxMailing LocationMailing Address3 Cufflin St Apt 2, Brighton, MA 02135-2442Phone(617) 529-2097FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense225168MassachusettsProvider IdentifiersIDDescriptionIssuerID225168DescriptionOtherIssuerMA BOARD OF SOCIAL WORKERSMassachusetts