Individual provider Active NPI

Patrick Eugene Connealy, LCSW-C

  • Clinical Social Worker
  • Columbia, MD
National Provider Identifier
1891853834
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
06235 Issued in MD
Practice address
7173 Harp String
Columbia, MD 21045-5247
Phone
(301) 767-5688
Fax
(240) 777-4806
NPI assigned
Dec 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 06235 MD Primary

Addresses

Primary practice location

7173 Harp String
Columbia, MD 21045-5247

Mailing address

7173 Harp String
Columbia, MD 21045-5247
Phone (301) 767-5688

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240131000961 DC Practitioner - Clinical Social Worker 4880047497 Practice locations: Rockville, MD
I20250116004062 MD Practitioner - Clinical Social Worker 4880047497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1451 Rockville Pike
Suite 250
Rockville, MD 20852-1486
Phone (301) 767-5688

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
One Promise Counseling and Education CurrentSince Nov 30, 2024 Accepting new patients
One Promise Counseling and Education CurrentSince Nov 30, 2024 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: patrick.connealy.p3@direct.mcg-hhs.nextgenshare.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1891853834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7173 HARP STRING",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455247",
            "telephone_number": "301-767-5688",
            "fax_number": "240-777-4806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7173 HARP STRING",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455247",
            "telephone_number": "301-767-5688",
            "fax_number": "240-777-4806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNEALY",
        "first_name": "PATRICK",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-04",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "06235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.