Look up the most recent NPI and PECOS records

Nyree Wannall

Social Worker

Behavioral Health & Social Service Providers

1401 Rockville Pike, Rockville, MD 20852-1428

PECOS Enrollment

Based on the most recent information from CMS, provider Nyree Wannall 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
1083301386
Provider Type
Individual
Full Name
Wannall, Nyree
Credential
LCSW-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
4/18/2023
Last Updated
4/18/2023

Contact Information

Practice Location

1401 Rockville Pike, Rockville, MD 20852-1428

(301) 335-2812

Unlisted Fax

Mailing Location

10012 Reddick Dr, Silver Spring, MD 20901-2125

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 13427 Maryland

Nyree Wannall

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Mcnulty, William

Leonette, Patricia

Frederick Behavioral Health Services, Llc

Whittle, Karen

Quirky Brain, Llc

Riskie, Catherine

Sloane, Ann

Hyman, Brenda

Schenk, Melinda Walder

Meetze, Selena