Organization Active NPI

Erin Connolly-Igoe, LLC

  • Adult Mental Health Clinic/Center
  • Annapolis, MD
National Provider Identifier
1144708025
Registry record updated Aug 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
License
10828 Issued in MD
Legal business name
ERIN CONNOLLY-IGOE, LLC
Practice address
49 Old Solomons Island Rd Ste 200
Annapolis, MD 21401-3864
Phone
(410) 507-0509
Fax
(410) 266-5328
NPI assigned
Aug 1, 2018
Last updated
Aug 1, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Erin Connolly-Igoe, LCSW-C, CCDCNPI 1770640328
Title
Owner
Phone
(410) 507-0509

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X 10828 MD Primary

Addresses

Primary practice location

49 Old Solomons Island Rd Ste 200
Annapolis, MD 21401-3864

Mailing address

49 Old Solomons Island Rd Ste 200
Annapolis, MD 21401-3864
Phone (410) 507-0509

National Provider Directory

National Provider Directory

Locations

133 Defense Hwy
Ste 213
Annapolis, MD 21401
Phone (410) 215-9122

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1533081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533081600000",
    "number": "1144708025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 OLD SOLOMONS ISLAND RD STE 200",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013864",
            "telephone_number": "410-507-0509",
            "fax_number": "410-266-5328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 OLD SOLOMONS ISLAND RD STE 200",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013864",
            "telephone_number": "410-507-0509",
            "fax_number": "410-266-5328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIN CONNOLLY-IGOE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-01",
        "last_updated": "2018-08-01",
        "status": "A",
        "authorized_official_last_name": "CONNOLLY-IGOE",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-507-0509",
        "authorized_official_credential": "LCSW-C, CCDC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": "10828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.