Provider Demographics
NPI:1558693788
Name:MCHENRY, MOLLY ANNE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MOLLY
Middle Name:ANNE
Last Name:MCHENRY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:MOLLY
Other - Middle Name:ANNE
Other - Last Name:MCHENRY-WHALEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:6455 MACHINE ST BLDG 2501
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN PROVING GROUND
Mailing Address - State:MD
Mailing Address - Zip Code:21005-5213
Mailing Address - Country:US
Mailing Address - Phone:410-278-1827
Mailing Address - Fax:
Practice Address - Street 1:6455 MACHINE STREET
Practice Address - Street 2:BUILDING 2501
Practice Address - City:ABERDEEN PROVING GROUND
Practice Address - State:MD
Practice Address - Zip Code:21055
Practice Address - Country:US
Practice Address - Phone:410-278-1827
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-15
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR7429-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical