Individual ProviderTraci GanawaySocial WorkerBehavioral Health & Social Service ProvidersPractice Address9543 Tessa Ln, Owings Mills, MD 21117-3276(410) 493-9411PECOS EnrollmentBased on the most recent information from CMS, provider Traci Ganaway 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 ID1881920916Provider TypeIndividualFull NameGanaway, TraciTitleDr.CredentialLCSW-CGenderFemaleSole ProprietorYesEnumeration Date10/23/2009Last Updated5/8/2013Contact InformationPractice LocationPractice Address9543 Tessa Ln, Owings Mills, MD 21117-3276Phone(410) 493-9411Fax(410) 356-1583Mailing LocationMailing Address9543 Tessa Ln, Owings Mills, MD 21117-3276Phone(410) 493-9411Fax(410) 356-1583Provider TaxonomiesCodeDescriptionLicenseCode1041C0700XPrimaryDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicense12178MarylandCode1041C0700XDescriptionSocial WorkerBehavioral Health & Social Service ProvidersLicenseLC50078136District of Columbia