Provider Demographics
NPI:1417610809
Name:WELSH, MADELEINE G (LCSW-C)
Entity type:Individual
Prefix:
First Name:MADELEINE
Middle Name:G
Last Name:WELSH
Suffix:
Gender:
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8503 LASALLE ROAD
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-5926
Mailing Address - Country:US
Mailing Address - Phone:410-377-8111
Mailing Address - Fax:
Practice Address - Street 1:1101 NORTHPOINT BLVD STE 108
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-3417
Practice Address - Country:US
Practice Address - Phone:410-377-8111
Practice Address - Fax:410-377-6806
Is Sole Proprietor?:No
Enumeration Date:2021-10-21
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD252791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical