Individual ProviderMary KaneSocial WorkerBehavioral Health & Social Service ProvidersPractice Address10085 Red Run Blvd, Suite 306, Owings Mills, MD 21117-4836(410) 581-7804(410) 938-3464PECOS EnrollmentBased on the most recent information from CMS, provider Mary Kane 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 ID1821234956Provider TypeIndividualFull NameKane, MaryCredentialLCSW-CGenderFemaleSole ProprietorNoEnumeration Date12/18/2008Last Updated1/24/2017Contact InformationPractice LocationPractice Address10085 Red Run Blvd, Suite 306, Owings Mills, MD 21117-4836Phone(410) 581-7804Fax(410) 356-6507Mailing LocationMailing Address6501 N Charles St, Room D225, Baltimore, MD 21204-6819Phone(410) 938-3464Fax(410) 938-5131Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense22462Maryland