Individual ProviderMindy ThielSocial WorkerBehavioral Health & Social Service ProvidersPractice Address4701 Randolph Rd Ste G8, Rockville, MD 20852-2259(301) 231-9001PECOS EnrollmentBased on the most recent information from CMS, provider Mindy Thiel 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 ID1518089770Provider TypeIndividualFull NameThiel, MindyCredentialLCSWCGenderFemaleSole ProprietorYesEnumeration Date4/6/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address4701 Randolph Rd Ste G8, Rockville, MD 20852-2259Phone(301) 231-9001Fax(301) 231-0124Mailing LocationMailing Address10705 Hampton Mill Ter Apt 100, North Bethesda, MD 20852-5450Phone(301) 231-9001Fax(301) 231-0124Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense12580Maryland