Danielle Fenwick

Primary specialty

PsychologistTaxonomy code 103T00000X

License

A0320 Issued in MD

Practice address

10433B Stevenson Rd
Stevenson, MD 21153-0602

Phone

(410) 205-9202

NPI assigned

Feb 18, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Dr. Willoughby and Associates

  • Clinical Psychologist
  • Stevenson, MD
  • NPI 1023578291
  NPD (past)

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

{
    "created_epoch": "1613606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1669065868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10433B STEVENSON RD",
            "city": "STEVENSON",
            "state": "MD",
            "postal_code": "211530602",
            "telephone_number": "410-205-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10433B STEVENSON RD",
            "city": "STEVENSON",
            "state": "MD",
            "postal_code": "211530602",
            "telephone_number": "410-205-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENWICK",
        "first_name": "DANIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-18",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MD",
            "license": "A0320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Stevenson",
            "affiliation": "N",
            "address_1": "10433B Stevenson Rd",
            "city": "Stevenson",
            "state": "MD",
            "country_code": "US",
            "postal_code": "211530602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jeanne Rachael Crane, M.AC., L.AC.
• Liana R Davis, LCSW-C
• Cassidy Demos, LCSW-C
• Dr. Roffman & Associates
• Dr. Willoughby and Associates
• Susan Ellen Finkelstein Sellman, LCPC
• Natalie Garinther
• Nelson H Hendler, M.D.
• Chelsea Howe, PSY.D.
• Inner Balance Mental Health & Wellness, P.C.

• Psychologist in Stevenson, MD
• Providers in Stevenson, MD by specialty
• Psychologist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.