Individual ProviderMary Bailey-EdwardsSocial WorkerBehavioral Health & Social Service ProvidersPractice Address675 Main St, Waltham, MA 02451-0602(781) 893-2003PECOS EnrollmentBased on the most recent information from CMS, provider Mary Bailey-Edwards 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 ID1790263762Provider TypeIndividualFull NameBailey-Edwards, MaryCredentialMSWGenderFemaleSole ProprietorNoEnumeration Date8/1/2018Last Updated8/1/2018Contact InformationPractice LocationPractice Address675 Main St, Waltham, MA 02451-0602Phone(781) 893-2003Fax(781) 647-0183Mailing LocationMailing Address675 Main St, Waltham, MA 02451-0602Phone(781) 893-2003Fax(781) 647-0183Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense211551MassachusettsProvider IdentifiersIDDescriptionIssuerID1568541670DescriptionMedicaidIssuerUnlistedMassachusetts