Individual ProviderCatherine Italia ConleySocial WorkerBehavioral Health & Social Service ProvidersPractice Address12301 Academy Way, Rockville, MD 20852-2000(443) 923-4183(301) 461-1341PECOS EnrollmentBased on the most recent information from CMS, provider Catherine Italia Conley 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 ID1922471606Provider TypeIndividualFull NameConley, Catherine ItaliaTitleMrs.CredentialLCSW-CGenderFemaleSole ProprietorNoEnumeration Date11/4/2015Last Updated11/4/2015Contact InformationPractice LocationPractice Address12301 Academy Way, Rockville, MD 20852-2000Phone(443) 923-4183Fax(443) 923-4181Mailing LocationMailing Address8718 Pine Sap Ln, Jessup, MD 20794-4903Phone(301) 461-1341FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense13713MarylandProvider IdentifiersIDDescriptionIssuerID15512DescriptionMedicaidIssuerUnlistedMaryland