Denise Marie Connelly, LCSW-C; CAC-AD
Social Worker, Clinical in Frederick, MD. Individual provider (NPI-1).
NPI number1801045992
StatusActive
Last updated in NPPESAug 15, 2013
Details
- NPI
- 1801045992
- Entity type
- Individual (NPI-1)
- Name
- Denise Marie Connelly
- Credential
- LCSW-C; CAC-AD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 12, 2008
- Last updated
- Aug 15, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 10915 | MD | Yes |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | AC0669 | MD |
Practice location
5301 Buckeystown PikeSuite170
Frederick, MD 21704-8370
Phone 301-733-0330 · Fax 301-733-4038
Mailing address
13218 Brooklane DrHagerstown, MD 21742-1435
Phone 301-733-0330 · Fax 301-733-4038
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