Jodi Vanderhorst | Owings Mills, MD • PECOS Search

Jodi Vanderhorst

Social Worker

Behavioral Health & Social Service Providers

119 Willow Bend Dr, Owings Mills, MD 21117-2619

PECOS Enrollment

Based on the most recent information from CMS, provider Jodi Vanderhorst does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:04 AM.

Profile Details

Provider ID
1417235169
Provider Type
Individual
Full Name
Vanderhorst, Jodi
Title
Ms.
Credential
LCSW-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/29/2011
Last Updated
7/29/2011

Contact Information

Practice Location

119 Willow Bend Dr, Owings Mills, MD 21117-2619

Unlisted Fax

Mailing Location

119 Willow Bend Dr, Owings Mills, MD 21117-2619

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 17270 Maryland