Provider Demographics
NPI:1891853834
Name:CONNEALY, PATRICK EUGENE (LCSW-C)
Entity Type:Individual
Prefix:MR
First Name:PATRICK
Middle Name:EUGENE
Last Name:CONNEALY
Suffix:
Gender:M
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7173 HARP STRING
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-5247
Mailing Address - Country:US
Mailing Address - Phone:301-767-5688
Mailing Address - Fax:240-777-4806
Practice Address - Street 1:7173 HARP STRING
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-5247
Practice Address - Country:US
Practice Address - Phone:301-767-5688
Practice Address - Fax:240-777-4806
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-04
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD062351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical