Provider Demographics
NPI:1518098797
Name:APPLEGATE, DOLLY (LCSW-C)
Entity Type:Individual
Prefix:
First Name:DOLLY
Middle Name:
Last Name:APPLEGATE
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:DOLLY
Other - Middle Name:
Other - Last Name:MOORE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:9910 FRANKLIN SQUARE DR STE 2110
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-4902
Mailing Address - Country:US
Mailing Address - Phone:410-933-6423
Mailing Address - Fax:
Practice Address - Street 1:DEPARTMENT OF PSYCHIATRY
Practice Address - Street 2:5755 CEDAR LANE
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044
Practice Address - Country:US
Practice Address - Phone:410-740-7910
Practice Address - Fax:410-740-7517
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2019-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
MD153481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)