Individual ProviderChris TaylorSocial WorkerBehavioral Health & Social Service ProvidersPractice Address6155 Executive Blvd, Rockville, MD 20852-3901(240) 888-7507PECOS EnrollmentBased on the most recent information from CMS, provider Chris Taylor 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 ID1770671273Provider TypeIndividualFull NameTaylor, ChrisCredentialLCSW-CGenderMaleSole ProprietorYesEnumeration Date10/10/2006Last Updated11/1/2012Contact InformationPractice LocationPractice Address6155 Executive Blvd, Rockville, MD 20852-3901Phone(240) 888-7507FaxUnlisted FaxMailing LocationMailing Address43 Midline Ct, Gaithersburg, MD 20878-1996Phone(240) 888-7507FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense11257Maryland