Individual ProviderAmy RudichSocial WorkerBehavioral Health & Social Service ProvidersPractice Address9220 Pittsfield Road, Baltimore, MD 21117(443) 610-9696PECOS EnrollmentBased on the most recent information from CMS, provider Amy Rudich is legally eligible to order and refer claims for Part B and DME services only.Part BMedicare Part BEnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:04 AM.Profile DetailsProvider ID1659766293Provider TypeIndividualFull NameRudich, AmyTitleMrs.CredentialLCSWGenderFemaleSole ProprietorNoEnumeration Date3/31/2015Last Updated3/18/2016Contact InformationPractice LocationPractice Address9220 Pittsfield Road, Baltimore, MD 21117Phone(443) 610-9696FaxUnlisted FaxMailing LocationMailing Address9220 Pittsfield Rd, Owings Mills, MD 21117-5585Phone(443) 610-9696FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense14158Maryland