Provider Demographics
NPI:1750041703
Name:WELSH, NANCY PAZ (LCSW-C)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:PAZ
Last Name:WELSH
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:MEJIA
Other - Last Name:PAZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:431 S DAVIS DR
Mailing Address - Street 2:
Mailing Address - City:PURCELLVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20132-3212
Mailing Address - Country:US
Mailing Address - Phone:301-767-6470
Mailing Address - Fax:
Practice Address - Street 1:431 S DAVIS DR
Practice Address - Street 2:
Practice Address - City:PURCELLVILLE
Practice Address - State:VA
Practice Address - Zip Code:20132-3212
Practice Address - Country:US
Practice Address - Phone:301-767-6470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-17
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD241651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical