OrganizationD.A. Wynne & Associates,Inc.Social WorkerBehavioral Health & Social Service ProvidersPractice Address11900 Parklawn Dr Ste 120, Rockville, MD 20852-2668(301) 468-5663PECOS EnrollmentBased on the most recent information from CMS, provider D.A. Wynne & Associates,Inc. 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 ID1609359389Provider TypeOrganizationFull NameD.A. Wynne & Associates,Inc.SubpartYesEnumeration Date9/10/2018Last Updated9/10/2018Contact InformationPractice LocationPractice Address11900 Parklawn Dr Ste 120, Rockville, MD 20852-2668Phone(301) 468-5663FaxUnlisted FaxMailing LocationMailing Address11900 Parklawn Dr Ste 120, Rockville, MD 20852-2668Phone(301) 468-5663FaxUnlisted FaxAuthorized OfficialNameKrueger, Elizabeth C (Clinical Director)Phone(301) 439-6700Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseUnlisted IssuerProvider IdentifiersIDDescriptionIssuerID1457474017DescriptionMedicaidIssuerUnlistedMarylandID1700363223DescriptionMedicaidIssuerUnlistedMaryland