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Cristy R Novotney

Social Worker

Behavioral Health & Social Service Providers

50 W Edmonston Dr, #208, Rockville, MD 20852

PECOS Enrollment

This provider is enrolled in PECOS as CRISTY NOVOTNEY.

Based on the most recent information from CMS, provider Cristy R Novotney is legally eligible to order and refer claims for Part B and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1053716985
Provider Type
Individual
Full Name
Novotney, Cristy R
Credential
MSW, LCSW-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/4/2014
Last Updated
11/19/2020

Contact Information

Practice Location

50 W Edmonston Dr, #208, Rockville, MD 20852

(206) 627-0010

Unlisted Fax

Mailing Location

4616 25th Ave NE # 516, Seattle, WA 98105-4183

(206) 627-0010

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License LW61024979 Washington
Code 104100000X	Description Social Worker Behavioral Health & Social Service Providers	License LW61024979 Washington

Provider Identifiers

ID	Description	Issuer
ID 1053716985	Description Medicaid	Issuer Unlisted Washington

Cristy R Novotney

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Kathleen A. Nardella, Lcsw-C, Llc

Hyman, Brenda

Frederick Behavioral Health Services, Llc

Wall, Chelsea

Klein, Vicki

Weidler, Faith

Kirby, Bruce

Rutherford, Tina Jordan

Ashery, Rebecca Sager

Mcnulty, William