Clancy, Michael W

Clancy, Michael W is an individual health care provider with primary practice located at 10630 Little Patuxent Pkwy Suite 209, Columbia MD 21044-3273. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Clancy, Michael W can be contacted via phone (410) 740-8066.

Contact Information

Primary practice address
10630 Little Patuxent Pkwy Suite 209 Columbia MD 21044-3273
Phone: (410) 740-8066
Fax: (410) 740-8068
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LCA323 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC1210 Maryland

Profile Details

NPI number 1346276292
LBN Legal business name Clancy, Michael W
Credentials LCPC, LCADC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2006
Last updated Jun 17th, 2014 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1346276292 NPPES
Maryland Other 647213-01 CAREFIRST RENDERING
Maryland Other M3280007 CAREFIRST RENDERING

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