Provider Demographics
NPI:1437227139
Name:DENARDO, JUDY MARIE (MSW)
Entity Type:Individual
Prefix:
First Name:JUDY
Middle Name:MARIE
Last Name:DENARDO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:935 HILLTOP RD
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-1738
Mailing Address - Country:US
Mailing Address - Phone:410-757-1707
Mailing Address - Fax:410-757-0246
Practice Address - Street 1:935 HILLTOP RD
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-1738
Practice Address - Country:US
Practice Address - Phone:410-757-1707
Practice Address - Fax:410-757-0246
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD087761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD320QMedicare ID - Type Unspecified