Individual ProviderChelsea WallSocial WorkerBehavioral Health & Social Service ProvidersPractice Address12301 Academy Way, Rockville, MD 20852-2000(240) 284-6557(301) 633-3214PECOS EnrollmentBased on the most recent information from CMS, provider Chelsea Wall 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 ID1285236463Provider TypeIndividualFull NameWall, ChelseaCredentialLCSW-CGenderFemaleSole ProprietorNoEnumeration Date11/12/2020Last Updated11/12/2020Contact InformationPractice LocationPractice Address12301 Academy Way, Rockville, MD 20852-2000Phone(240) 284-6557FaxUnlisted FaxMailing LocationMailing Address10913 Hillcrest Dr, Laurel, MD 20723-1022Phone(301) 633-3214FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense22246Maryland