Provider Demographics
NPI:1518100783
Name:DENNEHY, AMANDA WARFEL (LCPC)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:WARFEL
Last Name:DENNEHY
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:W
Other - Last Name:MONDELLI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5117 ELSMERE AVE
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20814-5730
Mailing Address - Country:US
Mailing Address - Phone:908-692-3000
Mailing Address - Fax:
Practice Address - Street 1:4405 E WEST HWY STE 509C
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814
Practice Address - Country:US
Practice Address - Phone:908-692-3000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-17
Last Update Date:2018-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC8503101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional