Individual ProviderFaith WeidlerSocial WorkerBehavioral Health & Social Service ProvidersPractice Address6203 Executive Blvd, Rockville, MD 20852-3906(240) 393-0166PECOS EnrollmentBased on the most recent information from CMS, provider Faith Weidler 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 ID1437424801Provider TypeIndividualFull NameWeidler, FaithCredentialLCSW-CGenderFemaleSole ProprietorYesEnumeration Date3/18/2012Last Updated2/13/2019Contact InformationPractice LocationPractice Address6203 Executive Blvd, Rockville, MD 20852-3906Phone(240) 393-0166FaxUnlisted FaxMailing LocationMailing Address6203 Executive Blvd, Rockville, MD 20852-3906Phone(240) 393-0166FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense16642Maryland