Andrew Thomas Donelan, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09583 Issued in MD

Practice address

9475 Deereco Rd Ste 410
Lutherville Timonium, MD 21093-2118

Phone

(410) 560-6135

NPI assigned

Nov 29, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Core Clinical Services

  • Clinical Psychologist
  • Timonium, MD
  • NPI 1649656943
  NPD
• Core Counseling Services Co

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Timonium, MD
  • NPI 1164895546
  NPD

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

{
    "created_epoch": "1606608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606608000000",
    "number": "1235733387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9475 DEERECO RD STE 410",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210932118",
            "telephone_number": "410-560-6135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 DEERECO RD STE 410",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210932118",
            "telephone_number": "410-560-6135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21 Hillary Way",
            "address_purpose": "LOCATION",
            "city": "Cockeysville",
            "state": "MD",
            "postal_code": "210303311",
            "country_code": "US",
            "telephone_number": "443-886-4954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONELAN",
        "first_name": "ANDREW",
        "middle_name": "THOMAS",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-29",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nishi Das, MD
• David Ross Orthodontics
• Laquonne Dee Davis, LCPC, CACAD, NCC
• Kiristen Leigh Draughn, MPS
• Jamar Dues
• Elizabeth Jane Duvall
• Norman M Dy, MD
• Ryan Matthew Edwards, PTA

• Clinical Social Worker in Lutherville Timonium, MD
• Providers in Lutherville Timonium, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; 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.