Brandy A Davis | Rockville, MD • PECOS Search

Brandy A Davis

Social Worker

Behavioral Health & Social Service Providers

11921 Rockville Pike, Suite 402, Rockville, MD 20852

PECOS Enrollment

Based on the most recent information from CMS, provider Brandy A Davis 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
1215763636
Provider Type
Individual
Full Name
Davis, Brandy A
Credential
LMSW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
9/11/2024
Last Updated
10/30/2024

Contact Information

Practice Location

11921 Rockville Pike, Suite 402, Rockville, MD 20852

Unlisted Fax

Mailing Location

11921 Rockville Pike, Suite 402, Rockville, MD 20852

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 22114 Maryland