Healthcare Provider Details

I. General information

NPI: 1518604537
Provider Name (Legal Business Name): MELANIE CONSUELO HARRIGAN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELANIE CONSUELO HARRIGAN LCSW-C

II. Dates (important events)

Enumeration Date: 05/19/2022
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

405 FREDERICK RD STE 162
CATONSVILLE MD
21228-4646
US

IV. Provider business mailing address

405 FREDERICK RD STE 162
CATONSVILLE MD
21228-4646
US

V. Phone/Fax

Practice location:
  • Phone: 443-637-1002
  • Fax:
Mailing address:
  • Phone: 443-637-1002
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number27883
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: