Connolly-Renshaw, Amy Moore
Connolly-Renshaw, Amy Moore is an individual health care provider with primary practice located at 29516 Canvasback Dr Ste 200 , Easton MD 21601-7140. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Connolly-Renshaw, Amy Moore can be contacted via phone (410) 822-5007.Contact Information
Primary practice address
29516 Canvasback Dr Ste 200
Easton MD 21601-7140
Phone: (410) 822-5007
Fax: (410) 822-5569
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X |
Profile Details
| NPI number | 1891020418 |
|---|---|
| LBN Legal business name | Connolly-Renshaw, Amy Moore |
| Credentials | Bachelor of Social Work (BSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 15th, 2009 |
| Last updated | Oct 15th, 2009 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891020418 | NPPES |
| Maryland | MEDICAID | 609500300 | |
| Maryland | MEDICAID | 609550004 | |
| Maryland | MEDICAID | 609500303 | |
| Maryland | MEDICAID | 609550001 | |
| Maryland | MEDICAID | 609550002 |
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