Doctor Name: | MRS. NANCY L CONNOLLY |
NPI Number: | 1053599332 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-C |
License Number: | 08682 |
Business Practice Address: | 300 Scheeler Rd Chestertown, MD - 216201014 |
Business Phone Number: | 4107786800 |
Business Fax Number: | 4107787344 |
Mailing Address: | Po Box 229, CHESTERTOWN |
State: | MD |
Postal Code: | 216200229 |
Phone Number: | 4107786800 |
Fax Number: | 4107787344 |
NPI Enumeration Date: | 02/08/2008 |
NPI Last Update Date: | 02/15/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 08682 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |