Individual provider Active NPI

Connelly Crawford Stewart, LCPC

  • Professional Counselor
  • Frederick, MD
National Provider Identifier
1962451500
Registry record updated Oct 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LC2155 Issued in MD
Practice address
335 S Market St
Frederick, MD 21701-6544
Phone
(240) 626-8301
NPI assigned
May 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC2155 MD Primary

Addresses

Primary practice location

335 S Market St
Frederick, MD 21701-6544

Mailing address

335 S Market St
Frederick, MD 21701-6544
Phone (240) 626-8301

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240228001743 MD Practitioner - Mental Health Counselor 3971948167 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Mental Health Counselor
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

100 N Court St
Suite 203
Frederick, MD 21701-5416
Phone (240) 626-8301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC2155MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Connelly Stewart Counseling, LLC CurrentSince Jan 2, 2024 Accepting new patients

Locations

100 N Court St
#203
Frederick, MD 21701
Phone (240) 626-8301

Organizations & group practices 1

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381881600000",
    "number": "1962451500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "335 S MARKET ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016544",
            "telephone_number": "240-626-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 S MARKET ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217016544",
            "telephone_number": "240-626-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "CONNELLY",
        "middle_name": "CRAWFORD",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2013-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.