Individual ProviderVivien B DeitzSocial WorkerBehavioral Health & Social Service ProvidersPractice Address10726 Brewer House Road, North Bethesda, MD 20852-3420(301) 770-1111PECOS EnrollmentBased on the most recent information from CMS, provider Vivien B Deitz 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 ID1184890964Provider TypeIndividualFull NameDeitz, Vivien BCredentialMSW LCSWCGenderFemaleSole ProprietorYesEnumeration Date5/1/2008Last Updated5/20/2008Contact InformationPractice LocationPractice Address10726 Brewer House Road, North Bethesda, MD 20852-3420Phone(301) 770-1111Fax(301) 770-0260Mailing LocationMailing Address10726 Brewer House Road, North Bethesda, MD 20852-3420Phone(301) 770-1111Fax(301) 770-0260Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense05221Maryland