Provider Demographics
NPI:1144427246
Name:MCGUIRE, DEARDRE SMITH (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:DEARDRE
Middle Name:SMITH
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3825 T ST NW
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20007-2122
Mailing Address - Country:US
Mailing Address - Phone:202-338-7583
Mailing Address - Fax:
Practice Address - Street 1:COUNSELING AND PSYCHIATRIC SERVICE
Practice Address - Street 2:ONE DARNALL HALL, 37TH AND O STREETS, NW
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20057-0001
Practice Address - Country:US
Practice Address - Phone:202-687-7045
Practice Address - Fax:202-687-6158
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500780691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical