Individual ProviderNicole MyersSocial WorkerBehavioral Health & Social Service ProvidersPractice Address11 Gwynns Mill Ct Ste K, Owings Mills, MD 21117-3500(443) 904-6897(443) 356-1184PECOS EnrollmentBased on the most recent information from CMS, provider Nicole Myers 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 ID1396316857Provider TypeIndividualFull NameMyers, NicoleGenderFemaleSole ProprietorNoEnumeration Date7/6/2021Last Updated7/6/2021Contact InformationPractice LocationPractice Address11 Gwynns Mill Ct Ste K, Owings Mills, MD 21117-3500Phone(443) 904-6897FaxUnlisted FaxMailing LocationMailing Address1402 Allwood Ln Apt 202, Belcamp, MD 21017-2636Phone(443) 356-1184FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense261149Maryland