Jessica M Rotem | Rockville, MD • PECOS Search

Jessica M Rotem

Social Worker

Behavioral Health & Social Service Providers

12301 Academy Way, Rockville, MD 20852-2000

PECOS Enrollment

Based on the most recent information from CMS, provider Jessica M Rotem 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
1538765946
Provider Type
Individual
Full Name
Rotem, Jessica M
Title
Mrs.
Credential
LCSW-C

Gender
Female
Sole Proprietor
No
Enumeration Date
12/10/2020
Last Updated
12/10/2020

Contact Information

Practice Location

12301 Academy Way, Rockville, MD 20852-2000

Unlisted Fax

Mailing Location

12301 Academy Way, Rockville, MD 20852-2000

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 22062 Maryland