Individual ProviderBetty BaeSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4701 Randolph Rd Ste 209b, Rockville, MD 20852-2257(301) 231-9001PECOS EnrollmentBased on the most recent information from CMS, provider Betty Bae 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 ID1295049179Provider TypeIndividualFull NameBae, BettyTitleMs.CredentialLCSWCGenderFemaleSole ProprietorNoEnumeration Date8/3/2010Last Updated8/3/2010Contact InformationPractice LocationPractice Address4701 Randolph Rd Ste 209b, Rockville, MD 20852-2257Phone(301) 231-9001Fax(301) 231-0124Mailing LocationMailing AddressPO Box 113, Garrett Park, MD 20896Phone(301) 231-9001Fax(301) 231-0124Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense15171Maryland