Provider Demographics
NPI:1164797049
Name:MCCOLLIN-TWYMAN, DENISE (LCSW-C)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:MCCOLLIN-TWYMAN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8701 TRYAL CT
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY VILLAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20886-4362
Mailing Address - Country:US
Mailing Address - Phone:301-787-2049
Mailing Address - Fax:
Practice Address - Street 1:8701 TRYAL COURT
Practice Address - Street 2:
Practice Address - City:MONTGOMERY VILLAGE
Practice Address - State:MD
Practice Address - Zip Code:20886-2088
Practice Address - Country:US
Practice Address - Phone:301-787-2049
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-12
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD134981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical