Provider Demographics
NPI:1417610809
Name:WELSH, MADELEINE G (LCSW-C)
Entity Type:Individual
Prefix:
First Name:MADELEINE
Middle Name:G
Last Name:WELSH
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 1:300 E LOMBARD ST STE 1700
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21202-3243
Mailing Address - Country:US
Mailing Address - Phone:410-227-9426
Mailing Address - Fax:
Practice Address - Street 1:7310 RITCHIE HWY STE 100
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21061-3170
Practice Address - Country:US
Practice Address - Phone:443-704-1082
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-21
Last Update Date:2021-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD252791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical