Individual ProviderMichael A. DvorakSocial WorkerBehavioral Health & Social Service ProvidersPractice Address9199 Reisterstown Road, Suite 105-B, Owings Mills, MD 21117(410) 356-8260PECOS EnrollmentBased on the most recent information from CMS, provider Michael A. Dvorak 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 ID1770786758Provider TypeIndividualFull NameDvorak, Michael A.TitleMr.CredentialLCSW-CGenderMaleSole ProprietorYesEnumeration Date6/7/2007Last Updated1/15/2008Contact InformationPractice LocationPractice Address9199 Reisterstown Road, Suite 105-B, Owings Mills, MD 21117Phone(410) 356-8260Fax(410) 356-8299Mailing LocationMailing Address9199 Reisterstown Road, Suite 105-B, Owings Mills, MD 21117Phone(410) 356-8260Fax(410) 356-8299Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense08908Maryland