Andrea Mary Regenberg | Owings Mills, MD • PECOS Search

Andrea Mary Regenberg

Social Worker

Behavioral Health & Social Service Providers

825 Queens Park Dr, Owings Mills, MD 21117-2251

PECOS Enrollment

Based on the most recent information from CMS, provider Andrea Mary Regenberg 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
1750574463
Provider Type
Individual
Full Name
Regenberg, Andrea Mary
Credential
LCSW-C

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/26/2007
Last Updated
8/26/2007

Contact Information

Practice Location

825 Queens Park Dr, Owings Mills, MD 21117-2251

Unlisted Fax

Mailing Location

37 Main St, Reisterstown, MD 21136-1236

(410) 526-9855

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License 10653 Maryland