Provider Demographics
NPI:1245866136
Name:CONWAY, C. ANDREW (MSW, PHD)
Entity type:Individual
Prefix:DR
First Name:C. ANDREW
Middle Name:
Last Name:CONWAY
Suffix:
Gender:M
Credentials:MSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:804 PERSHING DR STE 4
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-4436
Mailing Address - Country:US
Mailing Address - Phone:240-630-0423
Mailing Address - Fax:
Practice Address - Street 1:8120 WOODMONT AVE STE 960
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20814-2775
Practice Address - Country:US
Practice Address - Phone:301-960-3955
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-03-23
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD179661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical