OrganizationJennifer Wilson Lcswc Lcadc LlcSocial WorkerBehavioral Health & Social Service ProvidersPractice Address9199 Reisterstown Rd Ste 202b, Owings Mills, MD 21117-4579(410) 868-0001PECOS EnrollmentBased on the most recent information from CMS, provider Jennifer Wilson Lcswc Lcadc Llc 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 yesterday at 10:04 AM.Profile DetailsProvider ID1033691407Provider TypeOrganizationFull NameJennifer Wilson Lcswc Lcadc LlcSubpartNoEnumeration Date9/3/2018Last Updated3/3/2023Contact InformationPractice LocationPractice Address9199 Reisterstown Rd Ste 202b, Owings Mills, MD 21117-4579Phone(410) 868-0001FaxUnlisted FaxMailing LocationMailing Address16528 Falls Rd, Upperco, MD 21155-9483Phone(410) 868-0001FaxUnlisted FaxAuthorized OfficialNameWilson, Jennifer W (Owner)Phone(410) 868-0001Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense18028MarylandCode101YA0400XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseLCA2105MarylandCode101YP2500XDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseUnlisted Issuer