Provider Demographics
NPI:1962138073
Name:MURPHY, MADISON DENI (LCSW)
Entity type:Individual
Prefix:
First Name:MADISON
Middle Name:DENI
Last Name:MURPHY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:MADISON
Other - Middle Name:DENI
Other - Last Name:GISH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5268 CEDAR LN APT 183
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-1696
Mailing Address - Country:US
Mailing Address - Phone:916-769-6855
Mailing Address - Fax:
Practice Address - Street 1:5268 CEDAR LN APT 183
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-1696
Practice Address - Country:US
Practice Address - Phone:916-769-6855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-29
Last Update Date:2023-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVIC-16531041C0700X
DCLC2000023611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical