Individual ProviderJoan P MedwaySocial WorkerBehavioral Health & Social Service ProvidersPractice Address11400 Strand Dr, 310, Rockville, MD 20852-2937(301) 704-2162PECOS EnrollmentBased on the most recent information from CMS, provider Joan P Medway 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 ID1578970240Provider TypeIndividualFull NameMedway, Joan PCredentialPH.DGenderFemaleSole ProprietorYesEnumeration Date7/15/2014Last Updated7/15/2014Contact InformationPractice LocationPractice Address11400 Strand Dr, 310, Rockville, MD 20852-2937Phone(301) 704-2162FaxUnlisted FaxMailing LocationMailing Address4963 Elm St, Suite 210, Bethesda, MD 20814-2940Phone(301) 704-2162FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense25221Maryland