Individual ProviderFangyu QiSocial WorkerBehavioral Health & Social Service ProvidersPractice Address6010 Executive Blvd Ste 206, North Bethesda, MD 20852-3822(240) 447-7772(917) 435-7935PECOS EnrollmentBased on the most recent information from CMS, provider Fangyu Qi 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 2 days ago.Profile DetailsProvider ID1063926608Provider TypeIndividualFull NameQi, FangyuCredentialLCSW-CGenderFemaleSole ProprietorNoEnumeration Date11/17/2017Last Updated3/18/2020Contact InformationPractice LocationPractice Address6010 Executive Blvd Ste 206, North Bethesda, MD 20852-3822Phone(240) 447-7772FaxUnlisted FaxMailing LocationMailing Address6010 Executive Blvd Ste 206, North Bethesda, MD 20852-3822Phone(917) 435-7935FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense22058Maryland