Individual ProviderBruce KirbySocial WorkerBehavioral Health & Social Service ProvidersPractice Address6203 Executive Blvd, Rockville, MD 20852-3906(240) 277-9708PECOS EnrollmentBased on the most recent information from CMS, provider Bruce Kirby 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 ID1770981144Provider TypeIndividualFull NameKirby, BruceTitleMr.CredentialL.C.S.W. C.GenderMaleSole ProprietorYesEnumeration Date12/16/2014Last Updated12/16/2014Contact InformationPractice LocationPractice Address6203 Executive Blvd, Rockville, MD 20852-3906Phone(240) 277-9708FaxUnlisted FaxMailing LocationMailing Address14626 Bauer Dr Apt 7, Rockville, MD 20853-2453Phone(240) 277-9708FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense10338Maryland