OrganizationKathleen A. Nardella, Lcsw-C, LlcSocial WorkerBehavioral Health & Social Service ProvidersPractice Address6203 Executive Blvd, Rockville, MD 20852-3906(301) 775-5373PECOS EnrollmentBased on the most recent information from CMS, provider Kathleen A. Nardella, Lcsw-C, Llc 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 ID1124449673Provider TypeOrganizationFull NameKathleen A. Nardella, Lcsw-C, LlcSubpartNoEnumeration Date1/1/2014Last Updated1/1/2014Contact InformationPractice LocationPractice Address6203 Executive Blvd, Rockville, MD 20852-3906Phone(301) 775-5373FaxUnlisted FaxMailing LocationMailing Address350 Fortune Ter Ste C, Potomac, MD 20854-2910Phone(301) 775-5373FaxUnlisted FaxAuthorized OfficialNameNardella, Kathleen A (Owner)Phone(301) 775-5373Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense14995MarylandProvider IdentifiersIDDescriptionIssuerID1275971277DescriptionOtherIssuerNPI INDIVIDUAL