Morgan Rian Widerman | Rockville, MD • PECOS Search

Morgan Rian Widerman

Social Worker

Behavioral Health & Social Service Providers

11140 Rockville Pike, Rockville, MD 20852-3106

PECOS Enrollment

Based on the most recent information from CMS, provider Morgan Rian Widerman does not have current enrollment records in PECOS.

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

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1104486216
Provider Type
Individual
Full Name
Widerman, Morgan Rian
Credential
LCSW-C

Gender
Female
Sole Proprietor
No
Enumeration Date
6/20/2019
Last Updated
6/12/2023

Contact Information

Practice Location

11140 Rockville Pike, Rockville, MD 20852-3106

Unlisted Fax

Mailing Location

11140 Rockville Pike, Suite 100 #371, Rockville, MD 20852

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 23085 Maryland