Individual ProviderJanina GundersonSocial WorkerBehavioral Health & Social Service ProvidersPractice Address6010 Executive Blvd, Rockville, MD 20852-3809(929) 688-3594PECOS EnrollmentBased on the most recent information from CMS, provider Janina Gunderson 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 ID1801618467Provider TypeIndividualFull NameGunderson, JaninaGenderFemaleSole ProprietorNoEnumeration Date10/25/2024Last Updated10/25/2024Contact InformationPractice LocationPractice Address6010 Executive Blvd, Rockville, MD 20852-3809Phone(929) 688-3594FaxUnlisted FaxMailing LocationMailing Address6010 Executive Blvd, Rockville, MD 20852-3809PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense32242MarylandCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLG200003135District of ColumbiaCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense0903004323VirginiaCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense124430New York